Esthetic Soft Tissue Management of Teeth and Implants

Esthetic management of compromised ridge in the anterior maxilla, a modified prosthetic approach

“…[ 10 ] The proposed classification system for sagittal root position will provide availability of bone. [ 3 ] In this case, Dentascan evaluation revealed the bone thickness and quality. Bone graft augmentation was not possible due to the presence of scar tissue.…”

“…[ 2 ] Placing dental implants in the esthetic zone, especially in compromised ridge is considered to be the ultimate challenge for many dentists. [ 1 2 3 ] The correct surgical placement of a dental implant is important to obtain the expected esthetic result. The clinician should consider the time needed for implant integration, soft tissue healing, creation of emergence profile, and occlusal forces.…”

“…[ 4 6 7 ] Replacing a maxillary central incisor with an implant becomes extremely challenging in patients with thin gingival biotype (Class IV). [ 3 7 ] This case report illustrates the implant placement in the traumatic anterior maxilla with thin gingival biotype (Class IV) and a modified approach in prosthetic placement.…”

The periodontal restorative interface: esthetic considerations

“…A comprehensive periodontal examination involves assessment of soft-and hard-tissue parameters or what is referred to as the dentoalveolar gingival unit (168). It is important to note that, while a number of guidelines are presented in this paper, deviations from the ideal do not necessarily lessen the beauty of one's smile, and that in nature, there is no perfect symmetry between the two halves of the face.…”

“…It has also been suggested that the cumulative visual impact of the anterior dentition often takes over the sum of the individual parts (136). From an esthetic perspective, the intra-oral assessment involves evaluating the periodontal structures of the bone, the gingiva, the interdental papillae or the pink esthetic component, the teeth or the white component, and the biologic space (168).…”