The use of root form dental implants in the “Esthetic Zone” has attracted significant popularity in recent years. There are several approaches to the treatment of the esthetic sites. The implant may be placed in a non-submerged fashion or submerged in a two-stage format. With all of the advances in implant dentistry, the anterior restoration still seems to be the center of attention. The implant must appear as a natural tooth. After all is said and done the implant crown needs to be indistinguishable from the surrounding teeth. As technicians we tend to concentrate on parts and pieces and the final color of the crown. The true test of an esthetic restoration is however the appearance of the soft tissues that surround the implant. Soft tissues provide the framework for a beautiful restoration. The facial soft tissues and particularly the interproximal tissues are very important for esthetics. It will be shown that the provisional restoration is the most important means of shaping and developing the peri-implant soft tissues as well as providing a template for the final restoration. A true soft tissue model generated from the provisional also provides laboratory communication.
Upon completion of this presentation, participants should be able to: 1) provide evaluation of esthetic risk factors; 2) discuss pre-requisites for success; 3) explain the importance of provisional restorations to shape the transition zone; and 4) explain the importance of treatment planning.