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İmplant Destekli Lateral Diş Rehabilitasyonunda Çıkış Profili Estetiği; 2 Yıllık Takip

Year 2025, Volume: 28 Issue: 2, 295 - 301, 30.06.2025

Tuğba Hergüner

Abstract

Ön bölgede estetik restorasyonlar, protetik diş tedavisinin en zorlu alanlarından biridir. İmplant destekli restorasyonların yumuşak doku çıkış profili hem estetik hem de uzun vadeli başarı açısından kritik rol oynamaktadır. Kalıcı restorasyon ve implant çevresindeki mukoza, doğal dişin komşu dişlerle ve yumuşak dokularla ilişkisini taklit etmelidir ancak çoğu kez iyileşme başlığı çıkarıldıktan sonra dairesel ve küçük bir yumuşak doku geometrisi izlenmektedir. Uygun olmayan çıkış profili restorasyonun temizlenebilirliğini ve estetiğini etkilemektedir. Estetik ve uzun vadeli bir restorasyon sağlayabilmek için çıkış profilinin yeniden oluşturulması gerekmektedir. Restorasyonun gecikmeli yüklemelerinde çıkış profili şekillendirme geçici bir restorasyonla sağlanabilmektedir. Bu yaklaşımda randevu sayısı ve hasta başında geçen zaman fazla olsa da klinik sonuçlar göz önüne alındığında estetik, başarılı ve aynı zamanda düşük maliyetli tedaviler yapılabilmektedir. Bu olgu sunumunda, implant destekli lateral diş restorasyonunda başarılı ve uyumlu yumuşak doku çıkış profili oluşturma süreci anlatılmaktadır.

Keywords

yumuşak doku diş eti diş implantasyonu estetik diş hekimliği

Supporting Institution

Cumhuriyet Üniversitesi Sağlık Bilimleri Enstitüsü

References

  • 1. Martin W, Pollini A, Morton D. The Influence of Restorative Procedures on Esthetic Outcomes in Implant Dentistry: A Systematic Review. Int J Oral Maxillofac Implants. 2014;29(Supplement):142-154.
  • 2. Holst S, Blatz MB, Hegenbarth E, Wichmann M, Eitner S. Prosthodontic considerations for predictable single-implant esthetics in the anterior maxilla. Journal of Oral and Maxillofacial Surgery. 2005;63(9 SUPPL.):89-96.
  • 3. Alanazi S. Aesthetic problems related to dental implants in the aesthetic zone: A systematic review. Saudi Dent J. 2024;36(9):1179-1183.
  • 4. Lewis MB, Klineberg I. Prosthodontic considerations designed to optimize outcomes for single-tooth implants. A review of the literature. Aust Dent J. 2011;56(2):181-192.
  • 5. Ganddini MR, Tallents RH, Ercoli C, Ganddini R. Technique for fabricating a cement-retained single-unit implant-supported provisional restoration in the esthetic zone. Journal of Prosthetic Dentistry. 2005;94(3):296-298.
  • 6. Spyropoulou PE, Razzoog M, Sierraalta M. Restoring implants in the esthetic zone after sculpting and capturing the periimplant tissues in rest position: A clinical report. Journal of Prosthetic Dentistry. 2009;102(6):345-347.
  • 7. Wittneben JG, Buser D, Belser UC, Brägger U. Peri-implant Soft Tissue Conditioning with Provisional Restorations in the Esthetic Zone: The Dynamic Compression Technique. Int J Periodontics Restorative Dent. 2013;33(4):447-455.
  • 8. Atri F, Nokar K. Prosthetic Soft Tissue Management in Esthetic Implant Restorations, Part II: Post-surgical Considerations and Impression Techniques. A Narrative Review. Clin Exp Dent Res. 2025;11(1): e70097.
  • 9. Tsai BY. A method for obtaining peri-implant soft-tissue contours by using screw-retained provisional restorations as impression copings: A clinical report. Journal of Oral Implantology. 2011;37(5):605-609.
  • 10. González-Martín O, Lee E, Weisgold A, Veltri M, Su H. Contour Management of Implant Restorations for Optimal Emergence Profiles: Guidelines for Immediate and Delayed Provisional Restorations. Int J Periodontics Restorative Dent. 2020;40(1):61-70.
  • 11. Elian N, Tabourian G, Jalbout ZN, et al. Accurate transfer of peri-implant soft tissue emergence profile from the provisional crown to the final prosthesis using an emergence profile cast. Journal of Esthetic and Restorative Dentistry. 2007;19(6):306-314.
  • 12. Benic G, Mir-Mari J, Hämmerle C. Loading Protocols for Single-Implant Crowns: A Systematic Review and Meta-Analysis. Int J Oral Maxillofac Implants. 2014;29 (Supplement):222-238.
  • 13. Yan Q, Xiao LQ, Su M ying, Mei Y, Shi B. Soft and Hard Tissue Changes Following Immediate Placement or Immediate Restoration of Single-Tooth Implants in the Esthetic Zone: A Systematic Review and Meta-Analysis. Int J Oral Maxillofac Implants. 2016;31(6):1327-1340.
  • 14. Rathi P, Kolte R, Kolte A. Comparative evaluation of peri-implant tissues in definitive and repeated abutment replacements: A randomized clinical trial. J Indian Soc Periodontol. 2022;26(1):44-50.
  • 15. Perti S, Mansuri S, Pilli J, Kaur A, Alwithanani N, Kondreddy K. Assessment of the peri-implant conditions for the primary and the repeated abutment placements: An original research. J Pharm Bioallied Sci. 2023;15(5):187-191.
  • 16. Furze D, Byrne A, Alam S, Wittneben JG. Esthetic Outcome of Implant Supported Crowns With and Without Peri-Implant Conditioning Using Provisional Fixed Prosthesis: A Randomized Controlled Clinical Trial. Clin Implant Dent Relat Res. 2016;18(6):1153-1162.
  • 17. Al-Harbi SA, Edgin WA. Preservation of soft tissue contours with immediate screw-retained provisional implant crown. Journal of Prosthetic Dentistry. 2007;98(4):329-332.
  • 18. Chee WW, Donovan T. Use of provisional restorations to enhance soft-tissue contours for implant restorations. Compend Contin Educ Dent. 1998;19:481-486.
  • 19. Neale D, Chee W. Development of implant soft tissue emergence profile: a technique. J Prosthet Dent. 1994;71:364-368.
  • 20. Wise MD. Stability of gingival crest after surgery and before anterior crown placement. J Prosthet Dent. 1985;53:20-23.
  • 21. Davarpanah M, Martinez H, Celletti R, Tecucianu JF. Three-stage approach to aesthetic implant restoration: emergence profile concept. Pract Proced Aesthet Dent. 2001;13: 761-768.
  • 22. Sun TC, Chang TK. Soft tissue management around dental implant in esthetic zone – the current concepts and novel techniques. J Dent Sci. 2024;19(3):1348-1358.
  • 23. Ormianer Z, Laufer BZ, Nissan J, Gross M. An investigation of heat transfer to the implant-bone interface related to exothermic heat generation during setting of autopolymerizing acrylic resins applied directly to an implant abutment. International Journal of Oral & Maxillofacial İmplants. 2000;15(6):837-842.
  • 24. Son MK, Jang HS. Gingival recontouring by provisional implant restoration for optimal emergence profile: report of two cases. J Periodontal Implant Sci. 2011;41(6):302-308.
  • 25. Macintosh DCT, Sutherland M. Method for developing an optimal emergence profile using heat-polymerized provisional restorations for single-tooth implant-supported restorations. Journal of Prosthetic Dentistry. 2004;91(3):289-292.
  • 26. Gomez-Meda R, Esquivel J, Blatz MB. The esthetic biological contour concept for implant restoration emergence profile design. Journal of Esthetic and Restorative Dentistry. 2021;33(1):173-184.
  • 27. Nakamura K, Kanno T, Milleding P, Örtengren U. Zirconia as a dental implant abutment material: a systematic review. International Journal of Prosthodontics. 2010;23(4):299.
  • 28. Elian N, Tabourian G, Jalbout ZN, et al. Accurate Transfer of Peri-implant Soft Tissue Emergence Profile from the Provisional Crown to the Final Prosthesis Using an Emergence Profile Cast. Journal of Esthetic and Restorative Dentistry. 2007;19(6):306-314.
  • 29. Ntounis A, Petropoulou A. A technique for managing and accurate registration of periimplant soft tissues. Journal of Prosthetic Dentistry. 2010;104(4):276-279.

Emergence Profile Aesthetics in Implant-Supported Lateral Tooth Rehabilitation; 2 Years Follow Up

Year 2025, Volume: 28 Issue: 2, 295 - 301, 30.06.2025

Tuğba Hergüner

Abstract

Anterior aesthetic restorations are among the most challenging areas of prosthetic dentistry. The soft tissue emergence profile of implant-supported restorations plays a critical role in both aesthetics and long-term success. The permanent restoration and the peri-implant mucosa should mimic the natural tooth's relationship with adjacent teeth and soft tissues. However, after the removal of the healing abutment, a circular and narrow soft tissue geometry is often observed. An inadequate emergence profile can negatively affect the cleanability and aesthetics of the restoration. In order to achieve a long-lasting and aesthetic restoration, reshaping of the emergence profile is required. In delayed loading protocols of restorations, the emergence profile can be shaped using a provisional restoration. Although this approach may require more appointments and chair time, considering the clinical outcomes, it enables aesthetic, successful, and cost-effective treatments. In this case report, the process of achieving a successful and harmonious soft tissue emergence profile in an implant-supported lateral incisor restoration is presented.

Keywords

soft tissue gingiva dental implantation esthetics dentistry

References

  • 1. Martin W, Pollini A, Morton D. The Influence of Restorative Procedures on Esthetic Outcomes in Implant Dentistry: A Systematic Review. Int J Oral Maxillofac Implants. 2014;29(Supplement):142-154.
  • 2. Holst S, Blatz MB, Hegenbarth E, Wichmann M, Eitner S. Prosthodontic considerations for predictable single-implant esthetics in the anterior maxilla. Journal of Oral and Maxillofacial Surgery. 2005;63(9 SUPPL.):89-96.
  • 3. Alanazi S. Aesthetic problems related to dental implants in the aesthetic zone: A systematic review. Saudi Dent J. 2024;36(9):1179-1183.
  • 4. Lewis MB, Klineberg I. Prosthodontic considerations designed to optimize outcomes for single-tooth implants. A review of the literature. Aust Dent J. 2011;56(2):181-192.
  • 5. Ganddini MR, Tallents RH, Ercoli C, Ganddini R. Technique for fabricating a cement-retained single-unit implant-supported provisional restoration in the esthetic zone. Journal of Prosthetic Dentistry. 2005;94(3):296-298.
  • 6. Spyropoulou PE, Razzoog M, Sierraalta M. Restoring implants in the esthetic zone after sculpting and capturing the periimplant tissues in rest position: A clinical report. Journal of Prosthetic Dentistry. 2009;102(6):345-347.
  • 7. Wittneben JG, Buser D, Belser UC, Brägger U. Peri-implant Soft Tissue Conditioning with Provisional Restorations in the Esthetic Zone: The Dynamic Compression Technique. Int J Periodontics Restorative Dent. 2013;33(4):447-455.
  • 8. Atri F, Nokar K. Prosthetic Soft Tissue Management in Esthetic Implant Restorations, Part II: Post-surgical Considerations and Impression Techniques. A Narrative Review. Clin Exp Dent Res. 2025;11(1): e70097.
  • 9. Tsai BY. A method for obtaining peri-implant soft-tissue contours by using screw-retained provisional restorations as impression copings: A clinical report. Journal of Oral Implantology. 2011;37(5):605-609.
  • 10. González-Martín O, Lee E, Weisgold A, Veltri M, Su H. Contour Management of Implant Restorations for Optimal Emergence Profiles: Guidelines for Immediate and Delayed Provisional Restorations. Int J Periodontics Restorative Dent. 2020;40(1):61-70.
  • 11. Elian N, Tabourian G, Jalbout ZN, et al. Accurate transfer of peri-implant soft tissue emergence profile from the provisional crown to the final prosthesis using an emergence profile cast. Journal of Esthetic and Restorative Dentistry. 2007;19(6):306-314.
  • 12. Benic G, Mir-Mari J, Hämmerle C. Loading Protocols for Single-Implant Crowns: A Systematic Review and Meta-Analysis. Int J Oral Maxillofac Implants. 2014;29 (Supplement):222-238.
  • 13. Yan Q, Xiao LQ, Su M ying, Mei Y, Shi B. Soft and Hard Tissue Changes Following Immediate Placement or Immediate Restoration of Single-Tooth Implants in the Esthetic Zone: A Systematic Review and Meta-Analysis. Int J Oral Maxillofac Implants. 2016;31(6):1327-1340.
  • 14. Rathi P, Kolte R, Kolte A. Comparative evaluation of peri-implant tissues in definitive and repeated abutment replacements: A randomized clinical trial. J Indian Soc Periodontol. 2022;26(1):44-50.
  • 15. Perti S, Mansuri S, Pilli J, Kaur A, Alwithanani N, Kondreddy K. Assessment of the peri-implant conditions for the primary and the repeated abutment placements: An original research. J Pharm Bioallied Sci. 2023;15(5):187-191.
  • 16. Furze D, Byrne A, Alam S, Wittneben JG. Esthetic Outcome of Implant Supported Crowns With and Without Peri-Implant Conditioning Using Provisional Fixed Prosthesis: A Randomized Controlled Clinical Trial. Clin Implant Dent Relat Res. 2016;18(6):1153-1162.
  • 17. Al-Harbi SA, Edgin WA. Preservation of soft tissue contours with immediate screw-retained provisional implant crown. Journal of Prosthetic Dentistry. 2007;98(4):329-332.
  • 18. Chee WW, Donovan T. Use of provisional restorations to enhance soft-tissue contours for implant restorations. Compend Contin Educ Dent. 1998;19:481-486.
  • 19. Neale D, Chee W. Development of implant soft tissue emergence profile: a technique. J Prosthet Dent. 1994;71:364-368.
  • 20. Wise MD. Stability of gingival crest after surgery and before anterior crown placement. J Prosthet Dent. 1985;53:20-23.
  • 21. Davarpanah M, Martinez H, Celletti R, Tecucianu JF. Three-stage approach to aesthetic implant restoration: emergence profile concept. Pract Proced Aesthet Dent. 2001;13: 761-768.
  • 22. Sun TC, Chang TK. Soft tissue management around dental implant in esthetic zone – the current concepts and novel techniques. J Dent Sci. 2024;19(3):1348-1358.
  • 23. Ormianer Z, Laufer BZ, Nissan J, Gross M. An investigation of heat transfer to the implant-bone interface related to exothermic heat generation during setting of autopolymerizing acrylic resins applied directly to an implant abutment. International Journal of Oral & Maxillofacial İmplants. 2000;15(6):837-842.
  • 24. Son MK, Jang HS. Gingival recontouring by provisional implant restoration for optimal emergence profile: report of two cases. J Periodontal Implant Sci. 2011;41(6):302-308.
  • 25. Macintosh DCT, Sutherland M. Method for developing an optimal emergence profile using heat-polymerized provisional restorations for single-tooth implant-supported restorations. Journal of Prosthetic Dentistry. 2004;91(3):289-292.
  • 26. Gomez-Meda R, Esquivel J, Blatz MB. The esthetic biological contour concept for implant restoration emergence profile design. Journal of Esthetic and Restorative Dentistry. 2021;33(1):173-184.
  • 27. Nakamura K, Kanno T, Milleding P, Örtengren U. Zirconia as a dental implant abutment material: a systematic review. International Journal of Prosthodontics. 2010;23(4):299.
  • 28. Elian N, Tabourian G, Jalbout ZN, et al. Accurate Transfer of Peri-implant Soft Tissue Emergence Profile from the Provisional Crown to the Final Prosthesis Using an Emergence Profile Cast. Journal of Esthetic and Restorative Dentistry. 2007;19(6):306-314.
  • 29. Ntounis A, Petropoulou A. A technique for managing and accurate registration of periimplant soft tissues. Journal of Prosthetic Dentistry. 2010;104(4):276-279.
There are 29 citations in total.

Details

Primary Language English
Subjects Prosthodontics
Journal Section Case Reports
Authors

Tuğba Hergüner 0000-0001-6655-1145

Publication Date June 30, 2025
Submission Date May 15, 2025
Acceptance Date May 20, 2025
Published in Issue Year 2025Volume: 28 Issue: 2

Cite

EndNote Hergüner T (June 1, 2025) Emergence Profile Aesthetics in Implant-Supported Lateral Tooth Rehabilitation; 2 Years Follow Up. Cumhuriyet Dental Journal 28 2 295–301.
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