Optimization of Emergence Profile of Implant Prosthesis: A Literature Review

Minoru Sanda, Daisuke Sato, Kazuyoshi Baba

Abstract


In order to achieve esthetically optimal outcome with implant prosthesis, appropriate topography of emergence profile is crucial. The objective of this review is to explorer current evidence regarding this topic and relevant issue. Extent of interproximal papilla is determined not by the shape of emergence profile but the length between interproximal alveolar bone prominence and interproximal contact of crowns. There have been concerned that multiple times of disconnection and reconnection of abutment enhance peri-implant marginal bone loss, but it’s certified not to be a clinically significant level. Current digital workflow makes this step faster and easier, by copying emergence profile of contralateral tooth or extracted teeth.


Full Text:

PDF

References


Papaspyridakos P, Chen C-J, Singh M, Weber H-P, Gallucci GO. Success criteria in implant dentistry: A systematic review. J Dent Res. 2015:242–8. DOI: 10.1177/0022034511431252

Jung RE, Zembic A, Pjetursson BE, Zwahlen M, Thoma DS. Systematic review of the survival rate and the incidence of biological, technical, and aesthetic complications of single crowns on implants reported in longitudinal studies with a mean follow-up of 5 years. Clin Oral Implants Res. 2012;23:2–21. DOI: 10.1111/j.1600-0501.2012.02547.x

Cosyn J, Thoma DS, Hämmerle CHF, De Bruyn H. Esthetic assessments in implant dentistry: objective and subjective criteria for clinicians and patients. Periodontol 2000. 2017;73:193–202.

Gallucci GO, Belser DMDUC, Dent PM. Modeling and characterization of the cej for optimization of esthetic implant design. Int J Periodontics Restorative Dent. 2004;24:19–29.

Priest G. Developing optimal tissue profiles with implant-level provisional restorations. Dent Today. 2005; 24(11):96,98,100.

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;24:1153–62. DOI: 10.1111/cid.12416

Belser UC, Grütter L, Vailati F, Bornstein MM, Weber H-P, Buser D. Outcome evaluation of early placed maxillary anterior single-tooth implants using objective esthetic criteria: A cross-sectional, retrospective study in 45 patients with a 2-to 4-year follow-up using pink and white esthetic scores. J Periodontol. 2009;80:140–51. DOI: 10.1902/jop.2009.080435

Fürhauser R, Florescu D, Benesch T, Haas R, Mailath G, Watzek G. Evaluation of soft tissue around single-tooth implant crowns: the pink esthetic score. Clin Oral Implants Res 2005;16:639–44. DOI: 10.1111/j.1600-0501.2005.01193.x

Chappuis V, Martin W. Implant therapy in the esthetic zone – current treatment modalities and materials for single-tooth replacements. In:Barter S, Chen S, Wismeijer D, editors. ITI Treatment Guide. Volume 10. Basel: Quintessence Publishing Company; 2017.

Wittneben J-G, 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;33:447–55. DOI: 10.11607/prd.1268.

Morton D, Chen ST, Martin WC, Levine RA, Buser D. 5th ITI consensus statements and recommended clinical procedures regarding optimizing esthetic outcomes in implant dentistry. Int J Oral Maxillofac Implants. 2014;29 Suppl:216-20. DOI: 10.11607/jomi.2013.g3.

Huh J-B, Rheu G, Kim Y, Jeong C, Lee J, Shin S-W. Influence of implant trans mucosal design on early peri-implant tissue responses in beagle dogs. Clin Oral Implants Res. 2014;25:962–8. DOI: 10.1111/clr.12179

Kinsel RP, Pope BI, Capoferri D. A review of the positive influence of crown contours on soft-tissue esthetics. Comped Contin Educ Dent. 2015; 36(5):352–7.

Sancho-Puchades M, Crameri D, Őzcan M, Sailer I, Jung RE, Hämmerle CHF, et al. The influence of the emergence profile on the amount of undetected cement excess after delivery of cement-retained implant reconstructions. Clin Oral Implants Res. 2017;28(12):1515-22. DOI: 10.1111/clr.13020

Choquet V, Hermans M, Adriaenssens P, Daelemans P, Tarnow DP, Malevez C. Clinical and radiographic evaluation of the papilla level adjacent to single-tooth dental implants. aretrospective study in the maxillary anterior region. J Periodontol. 2001;72(10):1364–71. DOI: 10.1902/jop.2001.72.10.1364

Lops D, Chiapasco M, Rossi A, Bressan E, Romeo E. Incidence of inter-proximal papilla between a tooth and an adjacent immediate implant placed into a fresh extraction socket: 1-year prospective study. Clin Oral Implants Res. 2008;19(11):1135–40. DOI: 10.1111/j.1600-0501.2008.01580.x

Abrahamsson I, Berglundh T, Lindhe J. The mucosal barrier following abutment dis/reconnection. anexperimental study in dogs. J Clin Periodontol. 1997;24:568–72.

Rodríguez X, Vela X, Méndez V, Segalà M, Calvo-Guirado JL, Tarnow DP. The effect of abutment dis/reconnections on peri-implant bone resorption: a radiologic study of platform-switched and non-platform-switched implants placed in animals. Clin Oral Implants Res. 2013 Mar;24(3):305–11. DOI: 10.1111/j.1600-0501.2011.02317.x

Esposito M, Bressan E, Grusovin MG, D'Avenia F, Neumann K, Sbricoli L, et al. Do repeated changes of abutments have any influence on the stability of peri-implant tissues? one-year post-loading results from a multi centre randomised controlled trial. Eur J Oral Implantol. 2017;10:57–72.

Becker W, Doerr J, Becker BE. A novel method for creating an optimal emergence profile adjacent to dental implants. J Esthet Restor Dent. 2012;24(6):395–400. DOI: 10.1111/j.1708-8240.2012.00525.x

Joda T, Ferrari M, Brägger U. A digital approach for one-step formation of the supra-implant emergence profile with an individualized CAD/CAM healing abutment. J Prosthodont Res. 2016;60(3):220–3. DOI: 10.1016/j.jpor.2016.01.005

Vafiadis D, Goldstein G, Garber D, Lambrakos A. Immediate implant placement of a single central incisor using a cad / cam crown-root form technique: provisional to final restoration. J Esthet Restor Dent. 2017;29(1):13-21. DOI: 10.1111/jerd.12265

Shiota M. Design guide of implant superstructures in the esthetic zone. Ann Jpn Prosthodont Soc. 2012;4(1):3–9. DOI: 10.2186/ajps.4.3




DOI: http://dx.doi.org/10.26912/sdj.v2i1.2088

Refbacks

  • There are currently no refbacks.


Copyright (c) 2018 SCIENTIFIC DENTAL JOURNAL



Copyright of Scientific Dental Journal. (e-ISSN: 2541–321X, p-ISSN: 2580–6548)

Scientific Dental Journal is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Creative Commons License