Esthetic Soft Tissue Management of Teeth and Implants

Esthetic Soft Tissue Management of Teeth and Implants......Page 1
Esthetic Soft Tissue Management of Teeth and Implants......Page 2
Contents......Page 5
Foreword......Page 6
Acknowledgments......Page 7
1. Introduction......Page 8
The impact of esthetics......Page 12
The smile-related quality of life......Page 14
The senior citizen ’ s smile......Page 17
The lips......Page 20
The smile lip line......Page 22
The upper lip......Page 24
The lower lip......Page 26
4. The dentoalveolar gingival unit......Page 27
Esthetic considerations......Page 28
The gingival biotype......Page 29
The gingival smile......Page 34
Osseous etiology: basal, alveolar, or combined......Page 35
Muscular etiology......Page 37
Delayed altered passive eruption......Page 39
Summary......Page 40
Gingival recession......Page 42
The bone......Page 44
Immediate implantation Figs 4.15 a?e......Page 49
Delayed implantation Figs 4.16 a?g......Page 51
Late implantation or site development......Page 52
The teeth......Page 57
The interproximal bone height and the interdental implant papilla......Page 61
The interproximal dental relation......Page 62
The interproximal implant relation......Page 66
The pink/white esthetic score, or PES/WES......Page 68
The biological space......Page 70
Final remarks......Page 72
The biological rationale......Page 73
Indications......Page 75
Current crown lengthening procedures......Page 77
The closed flap technique on Type I-A......Page 86
The open flap technique on Type I-A or Type IB/Type II B......Page 88
Biological objectives......Page 92
The connective tissue graft, the tunneling pouch technique, and recession coverage......Page 95
The connective tissue graft, the tunneling pouch technique, and ridge augmentation......Page 99
Current bioengineering materials......Page 100
The tunneling pouch technique......Page 101
Discussion......Page 106
Final remarks......Page 107
6. Esthetic implant treatment......Page 109
Peri-implant risk factors......Page 110
Are systemic factors affecting implant survival?......Page 112
Soft tissue management......Page 113
Implant biomechanical considerations......Page 118
Peri-implant mucosa thickness......Page 124
At the time of extraction, prior to implant placement......Page 127
After extraction, in conjunction with implant placement with a tunneling flap......Page 131
Before or after implant exposition with or without the roll technique......Page 132
After temporary crown or final restoration......Page 134
After placement of an over-buccally inclined implant......Page 137
The connective tissue graft and pontics......Page 138
The influence of the abutment, and of the temporary and final restorations......Page 145
Abutment selection......Page 147
Micromovements of the implant abutment and microgap infiltration......Page 148
Switch platform concept......Page 150
Prosthetic abutment profile......Page 154
Provisional and final restoration......Page 157
Final remarks......Page 162
7. Conclusion......Page 167
References......Page 171
Index......Page 181