Aesthetics in Oral Implantology: Biological, Clinical, Surgical, and Prosthetic Aspects

Abstract

The immediate placement in the anterior maxilla fresh extraction sockets without incisions or flaps elevation is a surgical option that can ensure ideal peri-implant tissues healing, preserving the presurgical gingival and bone aspects. For a predictable aesthetic result, the most important aspect seems to be the height and thickness of the buccal bone wall, which remain after immediate placement of the fixture.

A Comparative Study of Clinical Parameters in Submerged and Non submerged Implants

“…Although bone support is very important in both function and aesthetics of dental implants, the soft tissues around an implant also play a direct role in aesthetics and function [1,2]. Therefore, indices evaluating tissue condition around implants and the amount of crestal bone loss have been assessed in many investigations [3][4][5].…”

Modified Insertion Technique for Immediate Implant Placement into Fresh Extraction Socket in the First Maxillary Molar Sites: A 3-Year Prospective Study

“…1 Stable and predictable esthetic and functional results can be achieved with different surgical and prosthetic management techniques of the hard and soft tissue around implant restorations. 2 It has been suggested that immediate implant placement after tooth extraction preserves the dimensions of the alveolar ridge regardless of the mode of tooth failure. 3,4 Such a restorative procedure, well documented in different clinical situations, was also recommended to reduce the number of surgical stages and the interval between tooth removal and the insertion of the implant-supported restoration.…”

Forced eruption and implant site development in the aesthetic zone: A case report

“…When there are intact alveolar and gingival tissues, a satisfactory aesthetic outcome can be achieved whether immediate or delayed implant placement is used at the time of tooth extraction. [2930] In the present report involving forced eruption procedure, bone thickness and crestal bone level was considerably high in the residual ridge. Although a slightly more palatal placement would give better results, by means of this gain, implants with correct dimensions could be placed to the desired three-dimensional positions as described by Buser et al .…”

“…Further, it was noted that the total treatment time is no longer with forced eruption than with surgical augmentation. [181920272829] In this case report; a multidisciplinary treatment approach including forced eruption to develop the future implant site in the aesthetic zone has been illustrated. As a result, even if the total treatment duration did not take shorter time, clinical parameters related to inflammatory conditions were ameliorated and during therapeutic stage, a possible deficiency in crown and soft tissue dimensions could be prevented with a non-invasive and comfortable process.…”