Soft Tissue Preservation and Pink Aesthetics around Single Immediate Implant Restorations: A 1‐Year Prospective Study

Abstract

Preservation of pink aesthetics is possible following IIT. However, to achieve that, CTG may be necessary in about one-third of the patients. Major alveolar process remodeling is the main reason for additional treatment.

Treatment of Labial Soft Tissue Recession Around Dental Implants in the Esthetic Zone Using Guided Bone Regeneration With Mineralized Allograft: A Retrospective Clinical Case Series

“…16 In addition, mesial and distal papilla recession was associated with bone loss around a periodontally involved tooth that was mesial (OR = 2.1) or distal (OR = 2.7) to the implant itself, respectively. 16 In another study, Cosyn et al 17 utilized the Pink Esthetic Score 18 (PES) to evaluate the esthetic results of implants immediately placed and provisionally restored with single-tooth restorations after tooth extraction. All patients had intact sockets with a thick gingival biotype; however, gingival recession in 24% of the cases resulted in esthetic failure at 1 year.…”

“…26 A digital caliper, CBCT scan with the lip retracted, and a periodontal probe were used to measure soft tissue thickness (1.5 mm below gingival margin), keratinized tissue width, and gingival margin height,…”

Periodontics, Implantology, and Prosthodontics Integrated: The Zenith-Driven Rehabilitation

“…The rationale of installing the implant anchored in the palatal wall and 4 mm below the buccal gingival margin is to create an adequate emergence profile from the narrow implant platform, increasing the formation/reconstruction of the buccal bone wall to obtain stable results of the hard and soft tissues in the long term [19, 23, 24]. Graft resorption in the horizontal aspect can be equalized by the use of a thick connective tissue graft [25].…”

“…Several studies have demonstrated the possibility of minimizing tissue recession when a connective tissue graft is utilized associated with ITR [12, 18, 19]. Minor alterations have occurred in regions that received the soft tissue graft in comparison to nongrafted areas.…”

“…If the patient's systemic and local conditions permit, an immediate implant and provisional can be placed in an intact or compromised socket to perform an immediate tooth replacement (ITR) [16–18]. This procedure presents esthetical, psychological, functional, and biological advantages to the patient but must be well indicated in order to achieve treatment success [11, 12, 18, 19]. Despite the limitations and risks reported in the past, ITR combined with bone and gingival grafts present good results maintaining the ridge format and soft tissue contour if the appropriate surgical protocol is employed (Table 1).…”