Vertical Distance from the Crest of Bone to the Height of the Interproximal Papilla Between Adjacent Implants

Abstract

Clinicians should proceed with great caution when placing two implants adjacent to each other in the esthetic zone. In most cases, only 2, 3, or 4 mm of soft tissue height (average 3.4 mm) can be expected to form over the interimplant crest of bone. These results showed that modification of treatment plans may be necessary when esthetics are critical for success.

Effect of platform switching on crestal bone levels around implants in the posterior mandible: 3 years results from a multicentre randomized clinical trial

“…2001, Tarnow et al. 2003) and eventually for the success of the implant‐supported prosthetic rehabilitation.…”

Marginal tissue response to different implant neck design

“…20,21 Tarnow and his colleagues have shown the importance in maintaining the marginal bone height, as the response of the soft tissue height adjacent to the implant depended on the position of the bone level and the surrounding environment. 22 Tarnow et al has shown the clinical conditions and limitations, where a maximum retention of marginal bone and the soft tissue have been described. 22,23 Not all clinical situations allow to follow all the criteria to meet the satisfying aesthetic result from implant dentistry.…”

Taller 4 - Desafíos de la rehabilitación implanto-soportada en la zona estética

“…We must remember that the soft tissue can fill a maximum of 5 mm vertically between two natural teeth, measuring the distance from the bone crest to the base of the contact point (25) . Nevertheless, average clinical measurements of soft tissue height between two implants were 3.4 mm (26) . Another negative aspect to consider is the loss of height of the interdental bone crest after the two adjacent teeth have been removed.…”

“…Debemos tener presente que el tejido blando es capaz de rellenar un máximo de 5mm en sentido vertical entre dos dientes naturales, tomando la distancia desde la cresta ósea hasta la base del punto de contacto (25) . Sin embargo, las mediciones clínicas de la altura del tejido blando entre dos implantes, dan un promedio de 3,4mm (26) . A esto se debe agregar como elemento negativo, la pérdida de altura de la cresta ósea interdental luego de la extracción de dos dientes vecinos.…”