title: Tissue preservation strategies for fostering long-term soft and hard tissue stability.
abstract: As placement of functionally stable dental implants has become routine, concerns have shifted to maintenance of crestal bone and soft tissue stability. This article proposes the development of a tissue preservation philosophy to avoid crestal bone loss and gingival recession and thus foster long-term esthetics around implants. Pillars of this philosophy must include avoidance or minimization of an implant-abutment microgap and micromovement, use of platform switching, appropriate implant positioning relative to the bone crest, and preservation of the papillae when placing both single and multiple implants.
authors.forename: Georgios E
authors.initials: GE
authors.lastname: Romanos
mesh_terms: D016301:Alveolar Bone Loss / Q000517:prevention & control*; D000044:Dental Abutments; D059605:Dental Implant-Abutment Design; D003758:Dental Implantation, Endosseous; D015921:Dental Implants; D019250:Dental Implants, Single-Tooth; D019232:Dental Restoration Failure; D004955:Esthetics, Dental; D005889:Gingival Recession / Q000517:prevention & control*; D006801:Humans; D057893:Immediate Dental Implant Loading; D014087:Tooth Movement Techniques
chemical_list: D015921:Dental Implants