Abstract :
The esthetics of dental implants is dependent on the soft tissue form and emergence profile. This case report presents a conservative, minimally invasive treatment approach for replacement of missing tooth in esthetic zone with implant supported restoration and providing natural soft tissue profile around dental implant.A patient presented with unsatisfactory aesthetics in the upper anterior region, specifically missing right and left central incisors. Following diagnosis, a comprehensive treatment plan was devised. Placement of two dental implants in the central incisor region and composite buildup of adjacent lateral incisors to replicate the gingival profile, screw-retained provisional restorations were used and which was utilized during the impression procedure. Subsequently, porcelain-fused-to-metal (PFM) prostheses were cemented. The patient was scheduled for a 3-months follow-up appointment to evaluate restoration durability and overall patient satisfaction. Despite successful surgical implant placement, achieving optimal soft tissue aesthetics remains a significant challenge. To address this, a carefully planned prosthetic approach is essential. A prefabricated provisional restoration is utilized to create an emergence profile, which mimics the natural contour of the surrounding teeth.The dynamic compression method and non-invasive gingival recontouring with temporary restorations offers predictable, less invasive solutions, enhancing aesthetic outcomes.
Keyword :
Anterior implants, Esthetics, Soft tissue recontouring, Provisional restoration, Dynamic compression, Emergence profile