Contouring the Emergence Profile of Peri-implant Soft Tissue by Provisionals on Implants – Case Report

Abstract

Summary Aesthetic outcome of implant therapy involves the appropriate architecture of peri-implant soft tissue and interdental papilla. The dynamic compression technique of soft tissue is mentioned in contemporary literature as one of the methods for achieving optimal emergence profile. The aim of this case report was to present soft tissue prosthetic modeling with temporary crowns on implants for obtaining an emergence profile of final restoration. A 25-year-old female patient with missing left maxillary central incisor was referred to the Department of Oral Surgery School of Dental Medicine University in Belgrade for dental implant placement. After detailed planning, implant placement of Straumann Bone level implant NC Ø 3, 3×12 mm (Straumann® Bone Level NC), in the position of 21 was performed. Upon completion of osseointegration period, screw retained laboratory temporary crown was fabricated. During the next 3 months emergence profile was scalloped by creating additional pressure on the soft tissue with periodic adding the composite resin material to a temporary crown. The created emergence profile was transferred to the master cast by using customized impression coping, making possible fabrication of the final implant restoration according to the design made with provisional restoration. Soft tissue conditioning using temporary dental restorations on implants presents a non-invasive method with predictable aesthetic result.

Pembentukan emergence profile yang optimal mempengaruhi pemasangan prothesis

“…3 Faktor yang mempengaruhi pembentukan emergence profile gingiva adalah design implant, healing abutment, dan restorasi sementara. 4,5…”

Teknik Kompresi untuk Menciptakan Profil Jaringan Lunak Peri-Implan yang Lebih Baik

“…Faktor yang mempengaruhi pembentukan profil jaringan lunak adalah seleksi implan, healing abutment, dan restorasi sementara. 1 Implantolog dahulu meyakini bahwa hasil implan yang estetik hanya dapat diperoleh dengan teknik bedah pada saat pemasangan implan. Pada kasus defisiensi jaringan lunak yang dapat mempengaruhi estetik, tindakan connective tissue graft (CTG) dapat dilakukan untuk menambah ketebalan jaringan lunak.…”

“…Tindakan ini bertujuan untuk menekan jaringan lunak ke arah lateral sehingga memfasilitasi pembentukan papila interdental dan margin gingiva bukal. 1 Material resin komposit dipilih karena dapat membentuk jaringan lunak, mudah dimanipulasi, tidak bersifat iritatif terhadap gingiva, dan dapat dipoles dengan baik sehingga mencegah perlekatan bakteri. Temporary abutment dipilih karena terbuat dari plastik/polimer sehingga dapat berikatan baik dengan resin komposit.…”