Treatment Planning of Dental Implants in the Anterior Maxilla; Risk Assessment and Review of Soft Tissue along with Bone Preservation and Augmentation Techniques for Successful Clinical Outcomes

Abstract

The anterior maxilla continues to present with high potential risk for esthetic failure, and as a result, there is a clear need for modifications that would allow for natural-looking restorations that are harmonious with the rest of the mouth. A number of changes in protocol for placing implants such as using a restorative-driven protocol, the performance of a risk assessment and addressing factors that could compromise esthetics such as deficiencies in bone and soft tissue using bone and soft tissue grafts to ensure adequate tissue volume are necessary for dental implant overall success in the anterior maxilla. Understanding of timing with regard to implant placement has also contributed to achieving esthetic success in the region. This article reviews modifications made in implant placement in the esthetic zone and how they can contribute to functional and esthetic success in the anterior maxilla.

The challenge of implant support prosthesis with a bony defect in the esthetic zone: a clinical report

“…A preimplant assessment must be done before implant surgery. 3 Surgical bone and mucosal management may be necessary in certain clinical situations to place the implant in its optimal position. Therefore, placement of implants in a correct three-dimensional position is a key element to obtain a satisfactory result.…”

Redefining Esthetics: The Implant Way

“…While the overall success of an implant therapy majorly depends on the hard and soft tissue dimensions available, implant positioning with respect to apicocoronal, mesiodistal, and buccolingual positions with correct angulations of implants. 4 Maxillary anteriors are more prone to root fractures, recurrent failures of root canals, dental caries, and periodontal disease; therefore, the treatment plan for maxillary anterior teeth is more strenuous, leaving this region compromised in bone and soft tissue support. 5 This case report describes the replacement of missing maxillary anterior teeth with the implant-ceramic restorations maintaining the aesthetic as well as functional harmony.…”