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International Journal of Esthetic Dentistry  (English Edition)



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Int J Esthet Dent 10 (2015), No. 2     21. Apr. 2015
Int J Esthet Dent 10 (2015), No. 2  (21.04.2015)

Page 270-284, PubMed:25874274

Surgical-prosthetic management of facial soft tissue defects on anterior single implant-supported restorations: a clinical report
Paniz, Gianluca / Mazzocco, Fabio
The surgical correction of soft tissue defects on the facial aspects of dental implants is documented as an unpredictable procedure. Since the customization of the prosthetic emergence profile contributes significantly to the final esthetic outcome of the soft tissue, a combined surgical-prosthetic approach has been described in the literature. In the case presented in this article, a multidisciplinary approach was used to treat a patient's anterior sextant. It included the treatment of a previously placed implant, perfectly osseointegrated, with a 2 mm recession of the facial soft tissue. Two connective tissue grafting procedures were performed, in conjunction with the modification of the prosthetic profile of the provisional restoration and the definitive abutment. The final esthetic outcome satisfied the patient and resolved the main complaint, and is documented to have been stable for 5 years.