Managing the Peri‐implant Mucosa: A Clinically Reliable Method for Optimizing Soft Tissue Contours and Emergence Profile

Abstract

An emergence profile that mimics the natural tooth should be obtained by successful esthetic implant restoration. Moreover, it allows proper hygiene, which is fundamental for implant maintenance. The best way to achieve the correct emergence profile is to sculpture the peri-implant mucosa by means of a provisional prosthesis. Prefabricated provisional crowns cannot mimic the complexity and the variations of human soft tissue. Therefore, only a chair-side modification of the provisional restoration can accomplish the optimal result. Such a requirement can be satisfied by the clinical method described in the present report.

Esthetic Outcome of Implant Supported Crowns With and Without Peri‐Implant Conditioning Using Provisional Fixed Prosthesis: A Randomized Controlled Clinical Trial

“…In esthetic sites the implementation of a distinct provisional phase is a commonly used treatment concept . Dental professionals are trained to utilize provisional restorations on natural teeth and implants in daily clinical practice.…”

“…Different clinical methods of soft tissue conditioning with the use of a provisional restoration have been described in the literature . In the present clinical trial, patients within the provisional‐group were treated with the “dynamic compression technique,” which is a method that relies on a combination of initial pressure and subsequent modification (reduction) of the provisional.…”

Soft tissues stability of cad‐cam and stock abutments in anterior regions: 2‐year prospective multicentric cohort study

“…Conversely, anatomical shape of the implant abutment may help to support the surrounding soft tissues; also this aspect may influence the stability of the buccal peri‐implant soft tissues (Parpaiola et al. ). Unfortunately, no data are actually available on the comparison between soft tissue stability of prostheses supported by Cad‐Cam and stock abutments in anterior areas.…”

Reproducibility of Buccal Gingival Profile Using a Custom Pick‐Up Impression Technique: A 2‐Year Prospective Multicenter Study

“…On the contrary, CAD‐CAM‐designed abutments seem to be the best solution to reproduce a three‐dimensional shape of the prosthetic emergence profile …”

“…Moreover, even if CAD‐CAM abutments may provide a support for the peri‐implant mucosal architecture, further information is required on soft tissue shape response after mucosa conditioning with the provisional restoration. Different approaches have been suggested by the current literature on soft tissue sculpting . All authors focused on a provisional prosthesis contour as stable as possible to be faithfully reproduced in the definitive prosthesis.…”