The use of flowable composite in recording the soft tissue profile of implant restorations

Accurate recording and transfer of the peri-implant gingival crest morphology to the working cast is fundamental in creating optimal contours and implant abutment finishing lines in the final restoration. This article describes a technique using flowable composite resin to record the morphology of the peri-implant gingival crest, following soft tissue conditioning through modification of the provisional restoration. The cured composite provides a clear three-dimensional representation of the peri-implant soft tissue profile, facilitating accurate transfer to the technical laboratory. The record can be disinfected and its removal from the provisional restoration is simple.

The achievement of optimal aesthetics in the anterior zone is paramount for implant success.¹ Although the peri-implant soft tissue profile is a signficant aspect for all implant supported restorations, it is particularly pertinent when managing patients with high smile lines or high aesthetic expectations.² Stock healing abutments and impression copings are commonly cylindrical in shape and consequently, do not mimic a natural tooth's soft tissue architecture.³ As such, techniques to gradually modify peri-implant tissue have been described to improve contour and emergence of the definitive restoration.^4,5 This modification generally takes the form of incremental additive and subtractive changes to an interim restoration.^2,4