PubMed · 2002 · 109 citations · 0 references
DentistryOral SurgeryProsthodonticsDentoalveolar SurgeryImplant SurgeryRemovable ProsthodonticsAnterior Tooth RestorationsGingival EstheticsPeriodontal Esthetic ConsiderationsSingle-tooth Implant RestorationsSingle-tooth RestorationsAnterior Single-tooth Implant EstheticsGingival Tissue DestructionGingival Tissue HealthGingival Tissue ManagementImplant-level RestorationOvate Pontic DesignPeri-implant Tissue HygieneSurgical Implant Placement
Bone resorption following maxillary anterior tooth extraction is common and often compromises gingival tissue levels for the implant restoration. The creation of predictable peri-implant aesthetics requires proper understanding and preservation of the osseous and gingival tissue surrounding the failing tooth. This article addresses the various factors that affect the predictability of peri-implant gingival aesthetics in anterior single-tooth replacement. The surgical and prosthodontic procedures for maintenance of peri-implant aesthetics are also presented using an ovate pontic tooth on a removable partial denture following immediate extraction and implant placement.