STABLE AND AESTHETIC SOFT TISSUE MANAGEMENT AROUND IMPLANTS Part2

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Appropriate soft tissue management around implants plays a significant role in Implant Dentistry. To obtain an ideal aesthetic result around an implant, a thick soft tissue biotype is ideally needed as it retains the natural gingival contours and promotes good blood circulation, helping to maintain the bone level.¹ According to Dr. J.L. Wennström, thick tissue is necessary to obtain an adequate gingival height of around implants.^2,3 Unlike natural teeth that are attached to surrounding gingiva by cementum and fibers, implants lack any attachment to the surrounding soft tissue. Implant placement, in an area where there is a deficit of either soft or hard tissue, will result in esthetic compromise if ridge augmentation with either a connective tissue graft (CTG) and/or hard tissue augmentation (HTA) is not utilized. Thus, to obtain a superior esthetic result, good tissue management around implants is necessary. To create a natural and esthetic tissue result around an implant, it is very important to properly manage the implant placement, the abutment choice, and the subgingival and coronal shapes of both the provisional and final design of the implant restoration.