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Positioning Implants to Optimize Soft Tissue Aesthetics

While single-tooth replacement can be accomplished with predictability using implant therapy, this procedure is challenging in the anterior region where numerous criteria must be evaluated by the restorative team.  The available height of bone, soft tissue volume, and three dimensional position of the anticipated implant restoration are among the numerous concerns that must be addressed prior to the initiation of treatment.  This video provides a comprehensive review for the selection and placement of implants in the aesthetic region and illustrates these principles with a case presentation.

*Private practice, Paris, France 


Learning Objectives:

This video reviews and describes the importance of utilizing restoration driven therapy for accurate implant placement.  Upon viewing this video, the viewer will possess:

  • A heightened awareness of the role of the soft tissues in aesthetic implant restorations.
  • An understanding of the functional and aesthetic factors that influence implant placement.


Related Reading:

  1. Saadoun AP, Sullivan DY, Krichek M, LeGall M. Single-tooth implant: Management for success. Pract Periodont Aesthet Dent 1994;6(3):73-82.
  2. Garber DA, Belser UC. Restoration-driven implant placement with restoration-generated site development. Compend Cont Educ Dent 1995;16(8):796-804.
  3. Bahat O, Daftary F. Surgical reconstruction - A prerequisite for long-term implant success: A philosophic approach. Pract Periodont Aesthet Dent 1995;7(9):21-32.
  4. Hebel KS, Gajjar R. Achieving superior aesthetic results: Parameters for implant and abutment selection. Int J Dent Symp 1997;4:42-47.
  5. Adell R, Eriksson B, Lekholm U, et al. Long-term follow-up study of osseointegrated implants in the treatment of totally edentulous jaws. Int J Oral Maxillofac Impl 1990;5(4):347-359.
  6. Tarnow DP, Magne AW, Fletcher P. The effect from the distance from the contact point to the crest of bone on the presence or absence of interproximal dental papilla. J Periodontol 1992;63(12):995-996.
  7. Weisgold AS, Arnoux JP, Lu J. Single-tooth anterior implant: A world of caution. Part I. J Esthet Dent 1997;9(5):225-233.
  8. Grunder U, Spielmann HP, Gaberthuel T. Implant-supported single tooth replacement in the aesthetic region: A complex challenge. Pract Periodont Aesthet Dent 1996;8(9):835-842.
  9. Saadoun AP. The key to peri-implant esthetics: Hard-and-soft tissue management. Dent Implantol Update 1997;8(6):41-46.
  10. Berglundh T, Lindhe J. Dimension of the peri-implant mucosa: Biological width revisited. J Clin Periodontol 1996;23(10):971-973.
  11. Bichacho N, Landsberg CJ. Single implant restorations: Prosthetically induced soft tissue topography. Pract Periodont Aesthet Dent 1997;9(7);745-752.
  12. Wohrle PS. The synergy of taper and diameter: Enhancing the art and science of implant dentistry with the Replace( implant system. Int J Dent Symp 1997;4:48-52.
  13. Buser D, Weber HP, Lang NP. Tissue integration on non-submergered implants. 1-year results of a prospective study with 100 ITI hollow-cylinder and hollow-screw implants. Clin Oral Impl Res 1990;1(1):33-40.
  14. Alberktsson T, Zarb G, Worthington P, Eriksson AR. The long-term efficacy of currently used dental implants: A review. Int J Oral Maxillofac Impl 1986;1(1):11-25.
  15. Le Gall MG. The impact of occlusion on implants and implant componentry. Part 1. Dent Implantol Update 1996;7(8):61-64.
  16. Bengazi F, Wennstršm JL, Lekholm U. Recession of the soft tissue margin at oral implants. A 2-year longitudinal prospective study. Clin Oral Impl Res 1996;7(4):303-310.
  17. Jovanovic SA, Paul SJ, Nishimura RD. Anterior implant-supported reconstructions: A surgical challenge. Pract Periodont Aesthet Dent 1999;11(5):551-558.
  18. Salinas TJ, Sadan A. Establishing soft tissue integration with natural tooth-shaped abutments. Pract Periodont Aesthet Dent 1998;10(1):35-42.
  19. Touati, B, Guez, G, Saadoun AP. Aesthetic soft tissue integration and optimized emergence profile: Provisionalization and customized impression coping. Pract Periodont Aesthet Dent 1999;11(3):305-314.
  20. Saadoun AP, Le Gall M. Periodontal implications in implant treatment planning for aesthetic results. Pract Periodont Aesthet Dent 1998;11(5):655-664.
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