Soft tissue metric parameters, methods and aesthetic indices in implant dentistry: A critical review

2021 ◽  
Vol 32 (S21) ◽  
pp. 93-107
Author(s):  
Jan Cosyn ◽  
Retief Wessels ◽  
Ricardo Garcia Cabeza ◽  
Julie Ackerman ◽  
Célien Eeckhout ◽  
...  
2015 ◽  
Vol 2015 ◽  
pp. 1-9 ◽  
Author(s):  
Andreas L. Ioannou ◽  
Georgios A. Kotsakis ◽  
Michelle G. McHale ◽  
Donald E. Lareau ◽  
James E. Hinrichs ◽  
...  

Implant dentistry has been established as a predictable treatment with excellent clinical success to replace missing or nonrestorable teeth. A successful esthetic implant reconstruction is predicated on two fundamental components: the reproduction of the natural tooth characteristics on the implant crown and the establishment of soft tissue housing that will simulate a healthy periodontium. In order for an implant to optimally rehabilitate esthetics, the peri-implant soft tissues must be preserved and/or augmented by means of periodontal surgical procedures. Clinicians who practice implant dentistry should strive to achieve an esthetically successful outcome beyond just osseointegration. Knowledge of a variety of available techniques and proper treatment planning enables the clinician to meet the ever-increasing esthetic demands as requested by patients. The purpose of this paper is to enhance the implant surgeon’s rationale and techniques beyond that of simply placing a functional restoration in an edentulous site to a level whereby an implant-supported restoration is placed in reconstructed soft tissue, so the site is indiscernible from a natural tooth.


2017 ◽  
Vol 110 ◽  
pp. 94-105 ◽  
Author(s):  
Elisabeth Andritsch ◽  
Marc Beishon ◽  
Stefan Bielack ◽  
Sylvie Bonvalot ◽  
Paolo Casali ◽  
...  

2015 ◽  
Vol 41 (2) ◽  
pp. 196-199 ◽  
Author(s):  
Alan S. Herford ◽  
Rahul Tandon ◽  
Luca Pivetti ◽  
Marco Cicciù

The aim of this study is to report the efficacy of a lingual pedicle flap for soft tissue pre-prosthetic surgery in implant rehabilitation. While it has been demonstrated that keratinized gingiva is an important factor for implant success, there remains a dearth of case reports concerning the use of a lingual pedicle flap to achieve this desired outcome in such a large reconstructive effort. For this case report, the patient underwent an anterior mandibular resection of an ameloblastoma and subsequent reconstruction, resulting in soft tissue loss. To satisfy the patient's desires, both functionally and esthetically, a bilateral rotated pedicled lingual flap was performed to augment keratinized tissue on the anterior mandibular ridge. An additional vestibuloplasty with two collagen matrices was also performed, and an acrylic splint was then applied to achieve better stabilization. The primary outcome was to evaluate the efficacy of this technique, which, until now, was used only for exposed root coverage. The site demonstrated excellent healing over time, even resulting in an excess of healthy and pink soft tissue, which later had to be corrected with a small gingivectomy. Although the patient reported slight discomfort for a few days after surgery, she was nonetheless pleased both with her ability to function and her appearance. The results of this study show that the bilateral rotated pedicled lingual flap is a viable technique for the correction of soft tissue defects in implant dentistry, providing a good amount of keratinized gingiva.


2004 ◽  
Vol 30 (4) ◽  
pp. 240-254 ◽  
Author(s):  
Christopher E. Kazor ◽  
Khalaf Al-Shammari ◽  
David P. Sarment ◽  
Carl E. Misch ◽  
Hom-Lay Wang

Abstract Implant dentistry has been established as a predictable treatment modality with high clinical success rates. Esthetic considerations of implant restorations have been gaining increased interest over the years. The role of periodontal plastic surgical procedures in the creation and maintenance of peri-implant soft tissue heights to facilitate better esthetics has become more popular. The available plastic surgery procedures and their clinical applications are reviewed in this article. Emphasis is placed on factors to consider for proper case selection and ideal treatment planning.


Sign in / Sign up

Export Citation Format

Share Document