Common Implant Esthetic Complications

Abstract

Today, osseointegration of implants is readily attainable with high long-term survival rates. Consequently, clinicians are now focusing on improving implant esthetics and are starting to incorporate this parameter into their definition of implant success. However, studies measuring factors that affect implant esthetics and implant esthetic outcomes are lacking in the literature. A satisfactory esthetic outcome requires the clinician to be aware of the different factors affecting esthetics during the preplanning, surgical, and prosthetic phases of implant placement. This article addresses the etiologies of esthetic complications during each of these 3 phases and provides preventive and corrective treatment suggestions for these situations.

Can Periimplantitis Be Treated?

“…In addition, implant placement is governed by rules so that adjacent anatomic tissues are not violated. 45,46 Mesiodistally, there should be at least 1.5 mm of space between implant and adjacent teeth. This dimension may be increased to 3 mm in the posterior region in order to accommodate the emergence profile of the restoration.…”

Hemisection in an Era of Implants

“…The mesial root contains a longitudinal groove, which decreases its surface area and contraindicates the use of posts [4]. Implant therapy is a predictable option with good functionality [7] but in this case the patient chose an alternative treatment because of financial considerations and the desire to save the tooth. After satisfactory healing the definitive prosthodontic treatment was carried out with a fixed partial denture.…”

The preservation of teeth with root-originated fractures

“…Although in modern dentistry, osseointegration of implants is readily achievable with high long-term survival rates (Abboud et al 2013;Bashutski and Wang 2007;Butler and Kinzer 2012;Wheeler 2007), dental implant success should be judged also by esthetic outcomes, and esthetic predictability may be difficult to attain. Furthermore, when implant failure happens in the esthetic zone, it may be difficult to be corrected entirely (Tsesis et al 2015;Abboud et al 2013;Bashutski and Wang 2007;Butler and Kinzer 2012;Wheelers 2007).…”

“…Thus, a thorough evaluation of the esthetic-periodontal considerations should be a vital part of the treatment planning (Tsesis et al 2015;Abboud et al 2013;Avila et al 2009;Bashutski and Wang 2007;Butler and Kinzer 2012;Wheeler 2007;Verardi 2012).…”

“…The decision whether to attempt retaining a compromised endodontically treated tooth by additional treatments or to extract the fractured tooth and substitute it with an implant-supported restoration has been debated extensively for many years (Abboud et al 2013;Avila et al 2009;Bashutski and Wang 2007;Iqbal and Kim 2007;Iqbal and Kim 2008;Nemcovsky and Rosen 2017). However, in recent years, it has become evident that implants may be more prone to complications and require more postoperative maintenance than the natural tooth, and it seems that the pendulum may swing back towards endodontics and tooth preservation (Nemcovsky and Rosen 2017).…”