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Objective Criteria:
Guiding and Evaluating Dental Implant Esthetics
Take a Test | View PDF | Online Magazine

Course Objectives (2 CE Credits)

Little emphasis has been placed on the relative esthetic merits of single-tooth implant therapy compared with treatment involving root canal and a fixed partial denture. Additionally, there remain many unanswered questions regarding the esthetic requirements and related patient satisfaction concerning anterior single-unit implants. After reading this article by Dr. Lyndon F. Cooper, the clinician will understand:

  • Objective criteria for dental esthetics and the implant scenario
  • Use of the gingival zenith as a guide for dental implant placement
  • How to control peri-implant mucosal architecture
  • Prosthodontic management of peri-implant mucosal architecture

Summary

An objective approach to dental implant therapy is warranted. Recent application of objective criteria suggest that further control of the anterior dental esthetics might be achieved.

References

  1. Salinas TJ, Block MS, Sadan A. Fixed partial denture or single-tooth implant restoration? Statistical considerations for sequencing and treatment. J Oral Maxillofac Surg 2004;62(Suppl 2):2–16.
  2. Tortopidis D, Hatzikyriakos A, Kokoti M, et al. Evaluation of the relationship between subjects’ perception and professional assessment of esthetic treatment needs. J Esthet Restor Dent 2007;19:154– 62; discussion 163.
  3. Lindh T, Gunne J, Tillberg A, Molin M. A meta-analysis of implants in partial edentulism. Clin Oral Implants Res 1998;9:80–90.
  4. Roos J, Sennerby L, Lekholm U, et al. A qualitative and quantitative method for evaluating implant success: a 5-year retrospective analysis of the Brånemark implant. Int J Oral Maxillofac Implants 1997;12:504–14.
  5. Zitzmann NU, Berglundh T, Marinello CP, Lindhe J. Experimental peri-implant mucositis in man. J Clin Periodontol 2001;28:517–23. GUIDING AND EVALUATING DENTAL IMPLANT ESTHETICS 204 © 2008, COPYRIGHT THE AUTHOR JOURNAL COMPILATION © 2008, WILEY PERIODICALS, INC.
  6. Fürhauser R, Florescu D, Benesch T, et al. Evaluation of soft tissue around single-tooth implant crowns: the pink esthetic score. Clin Oral Implants Res 2005;16:639–44.
  7. Meijer HJ, Stellingsma K, Meijndert L, Raghoebar GM. A new index for rating aesthetics of implant-supported single crowns and adjacent soft tissues—the Implant Crown Aesthetic Index. Clin Oral Implants Res 2005;16:645–9.
  8. Chang M, Wennström JL, Odman P, Andersson B. Implant supported single-tooth replacements compared to contralateral natural teeth. Crown and soft tissue dimensions. Clin Oral Implants Res 1999;10:185–94.
  9. Meijndert L, Meijer HJ, Stellingsma K, et al. Evaluation of aesthetics of implant supported single-tooth replacements using
    different bone augmentation procedures: a prospective randomized clinical study. Clin Oral Implants Res 2007;18:715–19.
  10. Kopp FR, Belser UC. Esthetic checklist for the fixed prosthesis. In: Sharer P, Rinn LA, Kopp FR, editors. Esthetic guidelines for
    restorative dentistry. Chicago (IL): Quintessence Publishing Co.; 1982. p. 187–92.
  11. Mange P, Belser U. Bonded porcelain restorations in the anterior dentition: a biomimetic approach. Chicago (IL):
    Quintessence Publishing Co.; 2002.
  12. Cooper L, Felton DA, Kugelberg CF, et al. A multicenter 12-month evaluation of single-tooth implants restored 3 weeks after 1-stage surgery. Int J Oral Maxillofac Implants 2001;16:182–92.
  13. Cooper LF, Ellner S, Moriarty J, et al. Three-year evaluation of single-tooth implants restored 3 weeks after 1-stage surgery. Int J Oral Maxillofac Implants 2007;22:791–800.
  14. De Kok IJ, Chang SS, Moriarty JD, Cooper LF. A retrospective analysis of peri-implant tissue responses at immediate
    load/provisionalized microthreaded implants. Int J Oral Maxillofac Implants 2006;21:405–12.
  15. Covani U, Cornelini R, Barone A. Buccolingual bone remodeling around implants placed into immediate extraction sockets:
    a case series. J Periodontol 2003;74:268– 73.
  16. Seibert J, Salama H. Alveolar ridge preservation and reconstruction. Periodontol 2000 1996;11:69–84.
  17. Hermann JS, Buser D, Schenk RK, et al. Biologic width around titanium implants. A physiologically formed and stable
    dimension over time. Clin Oral Implants Res 2000;11:1–11.
  18. Kan JY, Rungcharassaeng K, Umezu K, Kois JC. Dimensions of peri-implant mucosa: an evaluation of maxillary anterior single implants in humans. J Periodontol 2003;74:557–62.
  19. Evans CD, Chen ST. Esthetic outcomes of immediate implant placements. Clin Oral Implants Res 2008;19:73–80.
  20. Bell RA. The geometric theory of selection of artificial teeth: is it valid? J Am Dent Assoc 1978;97:637–40.
  21. Cardaropoli G, Lekholm U, Wennström JL. Tissue alterations at implant-supported single-tooth replacements: a 1-year prospective
    clinical study. Clin Oral Implants Res 2006;17:165–71.
     
    Reprint requests: Lyndon F. Cooper, DDS, PhD, Department of Prosthodontics, UNC School of Dentistry, Chapel Hill, NC 27599,
    USA; e-mail: Lyndon_Cooper@dentistry.unc.edu
 
   
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