Management of the soft-tissue framework around an implant is key to achieving ideal esthetics in the maxillary anterior esthetic zone. When a patient has a tooth with advanced bone loss and recession in the esthetic zone, removing that tooth and replacing it with an implant often requires multiple surgical procedures to restore the lost hard and soft tissue. This article will discuss a novel ap...

OBJECTIVE Many techniques have been developed to enhance the gingival thickness, gingival level and emergence profile around the implant in the esthetic zone. INTRODUCTION In this study, a buccal rotational flap was used to improve the implant site in the esthetic zone and increase gingival tissue thickness. METHODS Two cases involved the use of a rotational flap during second-stage implant...

Background: The aim of this paper is to review the major quantitative and qualitative therapeutic outcomes for gingival recession defects in the esthetic zone. Methods: PubMed and MEDLINE were searched for entries up to April, 2012. For the assessment of quantitative parameters, criteria for considering studies for this assessment was based on the most current systemic review by Chambrone publi...

An optimal esthetic implant restoration is a combination of a visually pleasing prosthesis and surrounding peri-implant soft tissue architecture. This article introduces a clinical method, the dynamic compression technique, of conditioning soft tissues around bone-level implants with provisional restorations in the esthetic zone. The technique has several goals: to establish an adequate emergen...

Migration of maxillary anterior teeth because of the loss of periodontal support can alter the appearance of the esthetic zone. The loss of contacts between adjacent teeth results in the recession of interdental papillae. To restore sustainable periodontal health and the normal, esthetic appearance of a healthy 37-year-old woman with generalized advanced chronic periodontitis in the maxillary a...

Anterior single tooth replacement with immediate implants has become a predictable and well-established treatment modality in the modern implant practice. The restoration protocol of these cases is also a challenging subject for clinicians because of esthetic demands of patients. Atraumatic root removal, placing a single implant properly and contoured provisional restoration bring success in th...

The soft tissue architecture is an important part of an attractive smile. Autogenous connective grafts have been successful in treating gingival recession. Their availability, however, is limited by palatal anatomy. Acellular dermal matrices have been shown to be successful in the treatment of gingival recession and do not have availability problems. Traditional flap elevation can lead to shrin...

Introduction: The goal of all dental implant therapy is to maintain the esthetics, function and stability restoration peri-implant tissues involved in provisionalization. Objective: To analyze literature on prosthodontic management provisionalization esthetic zones such as whether or not perform immediate loading, emergency profile management, techniques esthetically compromised zones.Methodolo...

Increased patient demands for highly esthetic implant superstructure in the anterior zone has increased inthe last decades. Moreover, absence of periodontal ligament supported prosthesis causes forces tobe transferred without cushioning effect to alveolar bone, resulting marginal bone loss (MBL) andinfluence heath peri-implant tissue. Evaluate available evidence on andit consequences satisfacti...