Surgical management of peri-implant soft tissue color mismatch caused by shine-through effects of restorative materials: one-year follow-up.
Thin facial soft tissue may lead to visible soft tissue discoloration around implants and therefore to esthetic deficiencies. The aim of this article is to present a surgical approach to peri-implant soft tissue discoloration caused by the shinethrough effects of restorative materials in the anterior maxilla. A clinical case is used to illustrate the approach. A minimally invasive tunneling approach and connective tissue graft are used. The optical outcome is documented in an objective and standardized manner using a spectrophotometer after a follow-up of 12 months. The presented technique clearly improved the clinical condition and esthetic outcome. Spectrophotometric follow-up revealed a soft tissue color difference between the implant and adjacent tooth (control) that was clearly less than initially presented. In the area 3 mm apical to the soft tissue margin, this difference was beneath the clinically perceptible threshold of 3.7.
Department of Oral and Maxillofacial Plastic Surgery, University of Cologne, Cologne, Germany. a.happe@dr-happe.de
Arndt
A
Happe
Michael
M
Stimmelmayr
Markus
M
Schlee
Daniel
D
Rothamel
D000328:Adult; D003116:Color; D003118:Color Perception / Q000502:physiology; D003238:Connective Tissue / Q000637:transplantation; D019250:Dental Implants, Single-Tooth; D003764:Dental Materials / Q000737:chemistry*; D004955:Esthetics, Dental; D005500:Follow-Up Studies; D005881:Gingiva / Q000473:pathology* / Q000637:transplantation; D005889:Gingival Recession / Q000601:surgery; D006801:Humans; D007180:Incisor; D008297:Male; D008437:Maxilla / Q000601:surgery; D019060:Minimally Invasive Surgical Procedures; D012684:Sensory Thresholds / Q000502:physiology; D013053:Spectrophotometry; D013524:Surgical Flaps; D016896:Treatment Outcome
D003764:Dental Materials