Aesthetics in implantology
DOI:
https://doi.org/10.18203/2320-6012.ijrms20252446Keywords:
Osseointegration, Platform switching, Guided tissue regenerationAbstract
The field of dentistry has been transformed by osseointegrated implants, providing a dependable and lasting solution for patients who have lost teeth. These implants are now a highly successful and widely accepted treatment. Historically, the success of implant placement depended heavily on the quantity and quality of existing bone. However, with innovations like guided tissue regeneration (GTR) and new tools such as Osseo densification burs, it's now possible to place implants successfully even in areas with less-than-ideal bone. When placing implants in these more challenging locations, the focus extends beyond just functional success to include crucial esthetic considerations. These include the shape of the alveolar ridge contour, the health of the surrounding mucosa, the position of the crown margin, the crown form, the interdental spacing, how the occlusal surface design, the placement of the incisal edge positioning, how the lip supports, and the overall appearance of the smile.
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References
Fischer J. Esthetics and prosthetics: an interdisciplinary consideration of the state of the art. 1999.
Karrer M. Das Schöne, das Gesicht und die Zähne: Blicke in die Ästhetik. Dtsch Zahnärztl. 2002(57):515-25.
Sacher P, Rinn LA, Kopp FR. Asthetische Richtlinien fur die Rekonstruktive Zahnheilkunde. Berlin: Quintessenz. 1980.
Misch CE. Contemporary implant dentistry. Implant Dentistry. 1999 Jan 1;8(1):90. DOI: https://doi.org/10.1097/00008505-199901000-00012
Sarver DM, Ackerman MB. Dynamic smile visualization and quantification: Part 2. Smile analysis and treatment strategies. American J Orthodon Dentofac Orthop. 2003;124(2):116-27.
Levine RA. Soft tissue considerations for optimizing implant esthetics. Funct Esthet Restor Dent. 2007;1:54-62.
Dhir S. The peri-implant esthetics: An unforgettable entity. J Indian Soc Periodontol. 2011;15(2):98- 103. DOI: https://doi.org/10.4103/0972-124X.84375
Noelken R, Westphal L, Schiegnitz E, Al-Nawas B. Hard and soft tissue regeneration of severe peri-implantitis defects with the laser-assisted peri-implant defect regeneration technique: 3- year results. Int J Implant Dent. 2023;9(1):3. DOI: https://doi.org/10.1186/s40729-023-00467-1
Wiegel C, Bragger U, Sutter F, Hammerle CF, Lang NP. Prosthetics on implants crowns and bridges with new solid secondary parts: Dental Implant System. Switzerland med. 1994;104:757765.
Buser D, Bragger U, Lang NP, Nyman S. Regeneration and enlargement of jaw bone using guided tissue regeneration. Clin Oral Implants Res. 1990;1:22-32. DOI: https://doi.org/10.1034/j.1600-0501.1990.010104.x
Nyman S, Lang NP, Buser D, Bragger U. Bone regeneration adjacent to titanium dental implants using guided tissue regeneration. A report of two cases. Int J Oral Maxillofac Implant. 1990;5:9-14.
Andresson T, Odman P, Widmark G, Waas A. Anterior tooth replacement with implants in patients with a narrow alveolar ridge form. A clinical study with a narrow alveolar ridge form. A Clinical study using guided tissue regeneration. Clin Oral Implants Res. 1993;4:90-8. DOI: https://doi.org/10.1034/j.1600-0501.1993.040205.x
Jovanoic SA, Spiekermann H, Richter E. Bone regeneration around titanium dental implants in dehiscent defect sites; a clinical study. Int J Oral Maxillofac Implants. 1992;7:233-45.
Gelb DA. Immediate implant surgery: Three year retrospective evaluation of 50 consecutive cases. Inj J Maxillofac Implants. 1993;8:388-99.
Lazzara RJ. Immediate implant placement into extraction sites. Surgical and restorative advantages. Inj J Periodontal Res Dent. 1989;9:332-43.
Sarver DM, Ackerman MB. Dynamic smile visualization and quantification: Part 2. Smile analysis and treatment strategies. American J Ortho Dentofac Orthoped. 2003;124(2):116-27. DOI: https://doi.org/10.1016/S0889-5406(03)00307-X
Sutter F, Schroeder A, Buser D. The new concept of ITI hollow cylinder and hollow screw implants: Part I: Engineering and design. Int J Oral Maxillofac Implants. 1988;3:161-72.
Lundqvist S, Haraldson T. Speech problems with osseointegrated implant bridges. J Dent Res. 1992;72:636.
Kois JC. Predictable single tooth peri-implant esthetics: five diagnostic keys. Comp Contin Educ Dent. 2001;22(3):199-206.
Renner RP. An Introduction to Dental Anatomy and Esthetics. Chicago: Quintessence; 1985.
Beagle JR. Surgical reconstruction of the interdental papillae: Case report. Int J Periodont Rest Dent. 1992;12:145-51.
22 Bruggnenkate CM, Krekeler G, van der Kwast WA, Oosterbeek HS. Palatal mucosa grafts for oral implant devices. J Oral Srug Oral Med Oral Pathol 1991;72:154-8. DOI: https://doi.org/10.1016/0030-4220(91)90155-6
. Studer S, Eppenberger J, Scharer P. Das an image processing computer system as a new diagnostics and communication means for the dental medicine swiss Monatsschr Zahnmed. 1992;102:1237-42.
Fürhauser R, Florescu D, Benesch T, Haas R, Mailath G, Watzek G. Evaluation of soft tissue around single-tooth implant crowns: the pink esthetic score. Clin Oral Implants Res. 2005;16(6):639-44. DOI: https://doi.org/10.1111/j.1600-0501.2005.01193.x
Belser UC, Grütter L, Vailati F, Bornstein MM, Weber HP, Buser D. Outcome evaluation of early placed maxillary anterior single-tooth implants using objective esthetic criteria: a crosssectional, retrospective study in 45 patients with a 2- to 4-year follow-up using pink and white esthetic scores. J Periodontol. 2009;80(1):140-51. DOI: https://doi.org/10.1902/jop.2009.080435
Dwayne Karateew E. Implant Provisionalization: The Key to Definitive Aesthetic Success. Implant Aesthetics: Keys to Diagnosis and Treatment. 2017:337-52. DOI: https://doi.org/10.1007/978-3-319-50706-4_19
Buser D, Martin W, Belser UC. Optimizing esthetics for implant restorations in the anterior maxilla: anatomic and surgical considerations. International J Oral Maxillofac Impl. 2004;19(7):43-62.
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