Prosthetic Management of Implants in the Esthetic

Zone:General Principles and Scientific Documentation

As for the restorative aspects, three levels can be

identified that need to be taken into consideration in
order to obtain an esthetically pleasing implant-
supported restoration:

Level 1: Bone contour

Level 2: Soft-tissue contours and texture

Level 3: Prosthesis: contours, position, texture, and

color

Friday, February 18, 2011

 Socket preservation to
preserve bony contour

Friday, February 18, 2011

 Submerged VS non-
submerged

In esthetically demanding areas with a thin, highly scalloped

gingiva or where extensive soft-tissue or hard-tissue
defects are present, submerged healing is recommended in
order to establish soft-tissue access.

But with a thick, low scalloped gingiva and soft-tissue

access of at least 1-2 mm compared to the contralateral
tooth, transmucosal healing can be chosen

Friday, February 18, 2011

 Soft -tissue management can be carried out at different times
relative to implant placement and abutment connection:

Before implant placement in situations with extensive soft-tissue

deficits.

At implant placement with submerged healing standard

procedure for the correction of soft-tissue problems.

At abutment connection with submerged healing or at implant

placement with transmucosal healing(for the correction of minor
soft tissue problems only

After placement of a temporary or final reconstruction (in

exceptional cases only)

Friday, February 18, 2011

 Before implant placement: in
situation with extensive soft-
tissue deficits

Friday, February 18, 2011

 At abutment connection with
submerged healing or at implant
placement with transmucosal
healing(for the correction of
minor soft tissue problems only

Friday, February 18, 2011

 After placing provisional
restorations

Friday, February 18, 2011

 Timing of the soft-tissue conditioning process in esthetic
sites

Friday, February 18, 2011

 Replacement of an upper right
Central Incisor and restored with an
All-Ceramic Crown, Transocclusally
Screw-Retained

Friday, February 18, 2011

Friday, February 18, 2011
Friday, February 18, 2011
Friday, February 18, 2011
Friday, February 18, 2011
 REPLACEMENT OF AN
UPPER LEFT PERSISTING
DECIDUOUS CANINE
AND RESTORED WITH A
CERAMO-METAL
CROWN,
HORIZONTALLY SCREW-
RETAINED

Friday, February 18, 2011

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Friday, February 18, 2011