Journal of Periodontal and Implant Science

Korean Academy of Periodontology (대한치주과학회)
권호 표지
DOI QR코드

DOI QR Code

Gingival recontouring by provisional implant restoration for optimal emergence profile: report of two cases

  • Son, Mee-Kyoung (Department of Prosthodontics, Oral Biology Research Institute, Chosun University School of Dentistry) ;
  • Jang, Hyun-Seon (Department of Periodontology, Oral Biology Research Institute, Chosun University School of Dentistry)
  • Received : 2011.10.11
  • Accepted : 2011.11.19
  • Published : 2011.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The emergence profile concept of an implant restoration is one of the most important factors for the esthetics and health of peri-implant soft tissue. This paper reports on two cases of gingival recontouring by the fabrication of a provisional implant restoration to produce an optimal emergence profile of a definitive implant restoration. Methods: After the second surgery, a preliminary impression was taken to make a soft tissue working cast. A provisional crown was fabricated on the model. The soft tissue around the implant fixture on the model was trimmed with a laboratory scalpel to produce the scalloped gingival form. Light curing composite resin was added to fill the space between the provisional crown base and trimmed gingiva. After 4 to 6 weeks, the final impression was taken to make a definitive implant restoration, where the soft tissue and tooth form were in harmony with the adjacent tooth. Results: At the first insertion of the provisional restoration, gum bleaching revealed gingival pressure. Four to six weeks after placing the provisional restoration, the gum reformed with harmony between the peri-implant gingiva and adjacent dentition. Conclusions: Gingival recontouring with a provisional implant restoration is a non-surgical and non-procedure-sensitive method. The implant restoration with the optimal emergence profile is expected to provide superior esthetic and functional results.

Keywords

References

  1. Andersson B, Odman P, Lindvall AM, Lithner B. Singletooth restorations supported by osseointegrated implants: results and experiences from a prospective study after 2 to 3 years. Int J Oral Maxillofac Implants 1995;10:702-11.
  2. Avivi-Arber L, Zarb GA. Clinical effectiveness of implant-supported single-tooth replacement: the Toronto Study. Int J Oral Maxillofac Implants 1996;11:311-21.
  3. Jemt T, Pettersson P. A 3-year follow-up study on single implant treatment. J Dent 1993;21:203-8. https://doi.org/10.1016/0300-5712(93)90127-C
  4. Priest GF. Failure rates of restorations for single-tooth replacement. Int J Prosthodont 1996;9:38-45.
  5. Levine RA. Soft tissue considerations for optimizing implant esthetics. Funct Esthet Restor Dent 2007;1:54-62.
  6. Garber DA, Belser UC. Restoration-driven implant placement with restoration-generated site development. Compend Contin Educ Dent 1995;16:796, 798-802, 804.
  7. Neale D, Chee WW. Development of implant soft tissue emergence profile: a technique. J Prosthet Dent 1994;71:364-8. https://doi.org/10.1016/0022-3913(94)90095-7
  8. Jansen CE. Guided soft tissue healing in implant dentistry. J Calif Dent Assoc 1995;23:57-8, 60, 62 passim.
  9. Su H, Gonzalez-Martin O, Weisgold A, Lee E. Considerations of implant abutment and crown contour: critical contour and subcritical contour. Int J Periodontics Restorative Dent 2010;30:335-43.
  10. Wohrle PS. Nobel perfect esthetic scalloped implant: rationale for a new design. Clin Implant Dent Relat Res 2003;5 (Suppl 1):64-73. https://doi.org/10.1111/j.1708-8208.2003.tb00017.x
  11. Kan JY, Rungcharassaeng K, Ojano M, Goodacre CJ. Flapless anterior implant surgery: a surgical and prosthodontic rationale. Pract Periodontics Aesthet Dent 2000;12:467-74.
  12. Kim SJ, Kwon KR, Lee SB, Woo YH, Choi DG, Choi BB. Maxillary anterior single implant prosthesis. J Korean Acad Prosthodont 2001;39:306-12.
  13. Paul SJ, Jovanovic SA. Anterior implant-supported reconstructions: a prosthetic challenge. Pract Periodontics Aesthet Dent 1999;11:585-90.
  14. Garber DA, Salama MA, Salama H. Immediate total tooth replacement. Compend Contin Educ Dent 2001;22:210-6, 218.
  15. Salinas TJ, Sadan A. Establishing soft tissue integration with natural tooth-shaped abutments. Pract Periodontics Aesthet Dent 1998;10:35-42.
  16. Davarpanah M, Martinez H, Celletti R, Tecucianu JF. Three-stage approach to aesthetic implant restoration: emergence profile concept. Pract Proced Aesthet Dent 2001;13:761-7.
  17. Saadoun AP, Le Gall MG. Periodontal implications in implant treatment planning for aesthetic results. Pract Periodontics Aesthet Dent 1998;10:655-64.
  18. Bichacho N, Landsberg CJ. Single implant restorations: prosthetically induced soft tissue topography. Pract Periodontics Aesthet Dent 1997;9:745-52.
  19. Macintosh DC, Sutherland M. Method for developing an optimal emergence profile using heat-polymerized provisional restorations for single-tooth implant-supported restorations. J Prosthet Dent 2004;91:289-92. https://doi.org/10.1016/j.prosdent.2003.12.004
  20. Biggs WF. Placement of a custom implant provisional restoration at the second-stage surgery for improved gingival management: a clinical report. J Prosthet Dent 1996;75:231-3. https://doi.org/10.1016/S0022-3913(96)90476-X
  21. 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. J Prosthet Dent 2009;102:345-7. https://doi.org/10.1016/S0022-3913(09)60189-X
  22. Freitas Junior AC, Goiato MC, Pellizzer EP, Rocha EP, de Almeida EO. Aesthetic approach in single immediate implant-supported restoration. J Craniofac Surg 2010;21:792-6. https://doi.org/10.1097/SCS.0b013e3181d83fd3
  23. Leziy SS, Miller BA. Developing Ideal Implant Tissue Architecture and Pontic Site Form. In: Sadan A, editor. Quintessence of dental technology 2007: special 30th-anniversary issue. Harnover Park: Quintessence Publishing Co.; 2007. p.143-54.
  24. Hirayama H, Kang KH, Oishi Y. The modification of interim cylinders for the fabrication of cement-retained implant-supported provisional restorations. J Prosthet Dent 2003;90:406-9. https://doi.org/10.1016/S0022-3913(03)00430-X
  25. Kois JC, Kan JY. Predictable peri-implant gingival aesthetics: surgical and prosthodontic rationales. Pract Proced Aesthet Dent 2001;13:691-8.
  26. Al-Harbi SA, Edgin WA. Preservation of soft tissue contours with immediate screw-retained provisional implant crown. J Prosthet Dent 2007;98:329-32. https://doi.org/10.1016/S0022-3913(07)60107-3
  27. Ntounis A, Petropoulou A. A technique for managing and accurate registration of periimplant soft tissues. J Prosthet Dent 2010;104:276-9. https://doi.org/10.1016/S0022-3913(10)60139-4

Cited by

  1. Einzelzahnkrone gemäß Münchener Implantatkonzept : Effiziente Versorgung von Seitenzahnschaltlücken in zwei Sitzungen vol.56, pp.4, 2011, https://doi.org/10.1007/s12614-012-1307-y
  2. Transferring the Emergence Profile from the Provisional to the Final Restoration vol.26, pp.3, 2011, https://doi.org/10.1111/jerd.12068
  3. Critical soft‐tissue dimensions with dental implants and treatment concepts vol.66, pp.1, 2014, https://doi.org/10.1111/prd.12045
  4. 연조직 이식술과 넓은 computer aided design/computer aided mamufacturing 지대주를 이용한 임플란트 고정성 보철물의 출현윤곽 재현 vol.31, pp.4, 2015, https://doi.org/10.14368/jdras.2015.31.4.364
  5. Esthetic enhancement of a traumatized anterior tooth with a combination of forced eruption and tooth alignment: a case report vol.41, pp.3, 2011, https://doi.org/10.5395/rde.2016.41.3.210
  6. Transferring Conditioned Partially Edentulous Ridge Form to a Master Cast vol.25, pp.7, 2011, https://doi.org/10.1111/jopr.12333
  7. Anterior Restoration Splinting Implant with Natural Tooth: A Clinical Report vol.21, pp.3, 2017, https://doi.org/10.12972/implant.20170015
  8. Early Healing of Immediate Implants Connected With Two Types of Healing Abutments : A Prospective Cohort Study vol.27, pp.6, 2018, https://doi.org/10.1097/id.0000000000000809