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Objective Criteria: Guiding and Evaluating Dental Implant Esthetics

Guiding and Evaluating Dental Implant Esthetics - Dental CE Course
Launch Course

Course Objectives (2 CE Credits)

Lyndon F. Cooper, DDS, Ph.D.

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 suggests that further control of the anterior dental esthetics might be achieved.

CAUTION: When viewing the techniques, procedures, theories and materials that are presented, you must make your own decisions about specific treatment for patients and exercise personal professional judgment regarding the need for further clinical testing or education and your own clinical expertise before trying to implement new procedures.


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 Sep;62(9 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(3):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 Jun;28(6):517-23.
  6. GUIDING AND EVALUATING DENTAL IMPLANT ESTHETICS 204 © 2008, COPYRIGHT THE AUTHOR JOURNAL COMPILATION © 2008, WILEY PERIODICALS, INC.
  7. 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.
  8. 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.
  9. 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 Jun;10(3):185-94.
  10. 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;18:715-9.
  11. Kopp FR, Belser UC. Esthetic checklist for the fixed prosthesis. In: Schärer P, Rinn LA, Kopp FR, editors. Esthetic guidelines for restorative dentistry. Chicago (IL): Quintessence Publishing Co.; 1982. p. 187-92.
  12. Mange P, Belser U. Bonded porcelain restorations in the anterior dentition: a biomimetic approach. Chicago (IL): Quintessence Publishing Co.; 2002.
  13. 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(2):182-92.
  14. 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 Sep-Oct;22(5):791-800.
  15. 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 May-Jun;21(3):405-12.
  16. Covani U, Cornelini R, Barone A. Bucco-lingual bone remodeling around implants placed into immediate extraction sockets: a case series. J Periodontol. 2003 Feb;74(2):268-73.
  17. Seibert J, Salama H. Alveolar ridge preservation and reconstruction. Periodontal 2000. 1996 Jun;11(1):69-84.
  18. 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.
  19. 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 Apr;74(4):557-62.
  20. Evans CD, Chen ST. Esthetic outcomes of immediate implant placements. Clin Oral Implants Res. 2008 Jan;19(1):73-80.
  21. Bell RA. The geometric theory of selection of artificial teeth: is it valid? J Am Dent Assoc. 1978 Oct;97(4):637-40.
  22. 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 Apr;17(2):165-71.

Reprint requests: Lyndon F. Cooper, DDS, Ph.D., Department of Prosthodontics, UNC School of Dentistry, Chapel Hill, NC 27599, USA; email: Lyndon_Cooper@dentistry.unc.edu

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