Department of Prosthodontics, School of Dentistry, Craniomaxillofacial Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Department of Prosthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.
Clin Exp Dent Res. 2024 Dec;10(6):e900. doi: 10.1002/cre2.900.
This two-part review article delineates various techniques to enhance esthetic outcomes in anterior implant treatments. Part I concentrates on presurgical measures, case selection, implant placement, and restoration timing. Part II discusses post-surgical steps, the temporary restoration phase, the emergence profile contour, abutment types, and impression techniques.
A comprehensive search was conducted using Medline/PubMed, Embase, Scopus, and the Cochrane Library. The primary keywords included were "Dental Implants," "Dental Prosthesis, Implant-Supported," "Esthetics, Dental," "Dental Impression Techniques," and "Tissue Management."
Initially, 1472 studies were identified, from which 187 were selected based on publication year and title relevance. After removing duplicates, 84 abstracts were reviewed in full text, culminating in 59 studies being thoroughly analyzed.
Optimal esthetics in implant restorations are attainable through meticulous treatment planning, precise surgical execution, and systematic restorative steps, ensuring predictable outcomes. Factors such as a thick gingival biotype, an intact facial bone wall, and atraumatic extraction significantly contribute to superior esthetic results. Immediate implant placement combined with immediate provisionalization provides the most predictable outcomes by supporting and maintaining soft tissue architecture. Conversely, delayed implant placement and provisionalization often require extensive manipulation of collapsed soft tissues to achieve desired esthetics.
这篇由两部分组成的综述文章阐述了各种技术，以增强前牙种植治疗的美学效果。第一部分集中讨论术前措施、病例选择、种植体放置和修复时机。第二部分讨论术后步骤、临时修复阶段、显露轮廓、基台类型和印模技术。
使用 Medline/PubMed、Embase、Scopus 和 Cochrane Library 进行全面检索。主要关键词包括“Dental Implants”、“Dental Prosthesis, Implant-Supported”、“Esthetics, Dental”、“Dental Impression Techniques”和“Tissue Management”。
最初共确定了 1472 项研究，其中 187 项基于发表年份和标题相关性进行了选择。在去除重复项后，84 篇摘要进行了全文回顾，最终有 59 项研究进行了深入分析。
通过精心的治疗计划、精确的手术执行和系统的修复步骤，可以实现种植修复的最佳美学效果，确保可预测的结果。诸如厚龈生物型、完整的面骨壁和无创伤拔牙等因素显著有助于获得更好的美学效果。即刻种植体放置结合即刻临时修复通过支持和维持软组织结构，提供最可预测的结果。相反，延迟种植体放置和临时修复通常需要对塌陷的软组织进行广泛处理，以达到理想的美学效果。
