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Developing Optimal Peri-Implant Papillae within the Esthetic Zone: Guided Soft Tissue Augmentation Developing Optimal Peri-Implant Papillae within the Esthetic Zone: Guided Soft Tissue Augmentation

Author(s):

David Garber, DMD;Maurice Salama, DMD;Henry Salama, DMD;Pinhas Adar, MDT, CDT

Date Added:

1/1/1995


Summary:

Osseointegrated dental implants have enjoyed longterm success in the rehabilitation of totally edentulous patients. Every aspect of traditional treatment planning protocols continues to be re-evaluated and updated to better incorporate the benefits of osseointegration into clinical practice. This is particularly evident as dentistry has committed to fully integrating this approach into the more varied and demanding environment of the partially edentulous patient.

Along with the many benefits of added predictability and enhanced options, the ever-evolving role of osseointegrated implants in the treatment of the partially edentulous jaw has also created new challenges. Unlike the fully edentulous individual who maintains the implant-restorative interface beyond the lip perimeter, many partially edentulous patients undergo this transition within the esthetic zone. In a significant number of these individuals, the osseous topography resulting from previous tooth loss is not scalloped but flat and does not naturally support the recreation of interproximal papillae. Where an ovoid tooth form is desired, this complicating factor prevents the establishment of harmony, balance, and continuity of form between the fixture-supported restoration and the adjacent teeth within the esthetic zone.



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