Peri-Implant Soft Tissue Esthetics; A Journey from Implant Placement to Permanent Restoration

Fahad Umer1 BDS, FCPS, FICOI, CAGS U-PENN
Samira Adnan2 BDS, FCPS
Muhammad Rizwan Nazeer3 BDS

ABSTRACT:

Restorations placed in the anterior part of the mouth present a unique challenge in terms of reproducing the lost soft tissue. This aspect is particularly pronounced in case of avulsed central incisors. Since ‘black triangles’ have been displayed in patients where the anterior teeth are replaced by implants, particular attention needs to be paid to achieve the desired soft tissue profile. This case-report explains the restoration of upper central and lateral incisors of a patient, where the central incisor was avulsed and lateral incisor fractured. The process of replacing the central incisor with an immediate implant, followed by slowly and gradually modifying the peri-implant soft tissue, leading up to transferring the modified soft tissue profile through a specialized impression technique, has been described in detail.

KEYWORDS: Facial aesthetics, black triangle, upper central incisor, screw retained implant, cement retained implant special impression technique.

HOW TO CITE: Umer F Adnan S, Nazeer MR. Peri-Implant Soft Tissue Esthetics; A Journey from Implant Placement to Permanent Restoration. J Pak Dent Assoc 2017; 26(2): 83-89.

Received: 8 December 2016, Accepted: 15 March 2017