Contour Management of Implant Restorations for Optimal Emergence Profiles: Guidelines for Immediate and Delayed Provisional Restorations

González‐Martín, Oscar; Lee, Ernesto; Weisgold, Arnold S.; Veltri, Mario; Su, Huan

doi:10.11607/prd.4422

Cited by 82 publications

(99 citation statements)

References 5 publications

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“…Reasonably, the survival rate of both regular and zygomatic implants could be influenced in a decisive manner by all of the previously described factors. Moreover, the implant loading protocols [ 8 , 65 , 66 ], the different sizes [ 67 , 68 , 69 , 70 ], prosthetic emergence profiles [ 71 , 72 ], the number of zygomatic implants positioned [ 29 , 30 ], the different loading angle of zygomatic compared to regular implants [ 28 , 43 , 73 , 74 ] and the quantity of keratinized tissues [ 75 , 76 ] could represents key factors for the long terms maintenance of soft and hard tissue levels [ 38 , 77 ]. Moreover, the positioning localization of the implant screws could also play an important role.…”

Section: Discussionmentioning

confidence: 99%

Survival Rate of Zygomatic Implants for Fixed Oral Maxillary Rehabilitations: A Systematic Review and Meta-Analysis Comparing Outcomes between Zygomatic and Regular Implants

Lorusso

Conte²,

Inchingolo

et al. 2021

Dentistry Journal

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Background: Zygomatic implants have been proposed alone or in combination with premaxillary conventional implants for severe resorbed maxillary atrophy rehabilitation. The aim of the present investigation was to evaluate through a qualitative systematic review and meta-analysis the survival rate of zygomatic implants in conjunction with regular fixtures for maxillary rehabilitation. Methods: The article screening was conducted on the PubMed/Medline and EMBASE electronic databases according to the “Preferred Reporting Items for Systematic Reviews and Meta-Analyses” (PRISMA) guidelines. The scientific papers were included for qualitative analysis and risk-of-bias evaluation. Only the papers that included rehabilitation with zygomatic implants in combination with regular implants were considered for the meta-analysis comparative evaluation of the implant survival rate. Results: The paper search screened a total of 137 papers. After the initial screening, a total of 32 articles were considered for the qualitative analysis. There was a similar implant survival rate between zygomatic and premaxilla regular implants (p = 0.02; Z: 2.26). Conclusions: Zygomatic and conventional implants showed a high long-term survival rate for fixed maxillary rehabilitations, but few included studies reported the marginal bone loss after loading. Further studies are necessary to evaluate the pattern of marginal bone loss between zygomatic and conventional implants after long-term functional loading.

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Section: Discussionmentioning

confidence: 99%

Survival Rate of Zygomatic Implants for Fixed Oral Maxillary Rehabilitations: A Systematic Review and Meta-Analysis Comparing Outcomes between Zygomatic and Regular Implants

Lorusso

Conte²,

Inchingolo

et al. 2021

Dentistry Journal

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“…17 If the volume of the existing soft tissue is not adequate, soft tissue graft or surgical contour augmentation should be performed prior to the provisional phase. 18 As for the early or delayed implantation, delayed provisional phase (more than 2 months after implant placement) is well documented and recommended. 2,19 In the present study, an early implant placement followed with a delayed provisional phase was conducted.…”

Section: Discussionmentioning

confidence: 99%

The application of individualized abutment‐crown integrated provisional restoration in optimizing the peri‐implant soft tissue contour in the esthetic zone

Zhuang

Wang

Song

et al. 2021

J Esthet Restor Dent

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Objective: This article introduced a modified method to fabricate an individualized abutment-crown integrated provisional restoration for single-tooth implant restoration in the esthetic zone, which created a satisfactory peri-implant soft tissue architecture.Clinical considerations: Three months after the implant placement, the individualized abutment-crown integrated provisional restoration was designed and fabricated in the laboratory, by referring to the profile of natural contra-lateral tooth digitally, and seated on the implant afterwards. The peri-implant soft tissue architecture was evaluated and the Pink Esthetic Score (PES) was recorded. The provisional restoration stayed on the implant for 3 months until the individualized definitive ceramic abutment and crown were fixed on the implant.Conclusions: This protocol provided an alternative solution for shaping the periimplant soft tissue morphology in the esthetic zone by using an individualized abutment-crown integrated provisional restoration and showed promising effect on the esthetics of anterior single-tooth implant restoration.Clinical significance: The individualized abutment-crown integrated provisional restoration whose emergence profile mirroring that of the natural contra-lateral tooth, was designed with the help of computer-aided design-manufacture (CAD/CAM). It may help shaping the peri-implant soft tissue in the esthetic zone with merits of saving amount of hand labor of technicians as well as clinicians, and reducing the visits of patients.

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“…Immediate provisionalization using a full contoured restoration or a custom healing abutment with an adequate transmucosal configuration that leverages on the principles of the critical and subcritical contour can assist in the early manipulation of the peri‐implant soft tissues to minimize the collapse of the distal papilla and optimize the final outcome 22 . On the contrary, inadequate prosthetic management of the provisional or final restoration, including, but not limited to unfavorable transmucosal contour and crown design, may lead to constriction of the papillary tissue and a subsequent suboptimal outcome.…”

Section: The Mystery Of the Atrophic Distal Papillamentioning

confidence: 99%

The fate of the distal papilla around tooth‐bound implant‐supported restorations in maxillary central incisor sites

González‐Martín

Ávila‐Ortiz

2020

Journal of Periodontology

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The distal papilla around tooth-bound implant-supported restorations in maxillary central incisor sites tends to exhibit an atrophied aspect after tissue maturation following the delivery of the final prosthesis. This article provides an explanation to this phenomenon, as well as a set of therapeutic considerations to minimize its occurrence and optimize the outcomes of tooth replacement therapy with dental implants in this specific anatomic location.

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Contour Management of Implant Restorations for Optimal Emergence Profiles: Guidelines for Immediate and Delayed Provisional Restorations

Cited by 82 publications

References 5 publications

Survival Rate of Zygomatic Implants for Fixed Oral Maxillary Rehabilitations: A Systematic Review and Meta-Analysis Comparing Outcomes between Zygomatic and Regular Implants

Survival Rate of Zygomatic Implants for Fixed Oral Maxillary Rehabilitations: A Systematic Review and Meta-Analysis Comparing Outcomes between Zygomatic and Regular Implants

The application of individualized abutment‐crown integrated provisional restoration in optimizing the peri‐implant soft tissue contour in the esthetic zone

The fate of the distal papilla around tooth‐bound implant‐supported restorations in maxillary central incisor sites

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