Predictable peri-implant gingival aesthetics: surgical and prosthodontic rationales.
Bone resorption following maxillary anterior tooth extraction is common and often compromises gingival tissue levels for the implant restoration. The creation of predictable peri-implant aesthetics requires proper understanding and preservation of the osseous and gingival tissue surrounding the failing tooth. This article addresses the various factors that affect the predictability of peri-implant gingival aesthetics in anterior single-tooth replacement. The surgical and prosthodontic procedures for maintenance of peri-implant aesthetics are also presented using an ovate pontic tooth on a removable partial denture following immediate extraction and implant placement.
Kois
J C
JC
University of Washington, Tacoma, Washington, USA. koisdmd@nwrain.com
Kan
J Y
JY
D000328:Adult; D001862:Bone Resorption / Q000517:prevention & control; D003442:Crowns; D000044:Dental Abutments; D003758:Dental Implantation, Endosseous / Q000379:methods*; D019250:Dental Implants, Single-Tooth; D017267:Dental Prosthesis Design; D019094:Dental Prosthesis, Implant-Supported; D003832:Denture, Partial, Removable; D003833:Denture, Partial, Temporary; D004955:Esthetics, Dental; D005260:Female; D005544:Forecasting; D005881:Gingiva / Q000033:anatomy & histology*; D006801:Humans; D007180:Incisor; D008437:Maxilla / Q000601:surgery; D012391:Root Resorption / Q000601:surgery; D020254:Tooth Ankylosis / Q000601:surgery; D014081:Tooth Extraction / Q000009:adverse effects