Journal of Oral Implantology December 2012 - (Page 718)

RESEARCH Esthetics in Implant-Supported Prostheses: A Literature Review ´lben, DDS, DMD, PhD Juliana Aparecida De Marcelo Coelho Goiato, DDS, DMD, PhD* Humberto Gennari-Filho, DDS, DMD, PhD Wirley Goncalves Assuncao, DDS, DMD, PhD ¸ ¸˜ Daniela Micheline dos Santos, DDS, DMD, PhD Esthetics is important for success of implant-supported prostheses. This study aimed to review esthetics concepts for implant treatment. Research in the PubMed database included studies published from 1995 to 2010 with the keywords implant esthetics, implant-supported prostheses, and esthetics. Forty-five studies were evaluated regarding the presurgical planning, surgical phase, and temporary and final restoration phases. It was concluded that esthetics in implant-supported prostheses results from a multidisciplinary approach from planning until insertion of the final restoration. Key Words: dental implant, implant-supported prosthesis, esthetics INTRODUCTION ecently, the success of osseointegration of a dental implant is not enough for treatment success because esthetics of restoration are important for patient satisfaction.1,2 Because of this, some authors have highlighted the importance of presurgical planning,3 while other authors have focused on adequate implant positioning to provide a natural appearance to the implant-supported restorations.4,5 Thus, professionals should consider that the parameters of dental and gingival esthetics are essential for creating a smile in harmony with the patient’s face and expectations.1 According to Cooper,6 esthetics depend on some factors that should be evaluated during diagnosis to reveal and overcome previous limitations of the treatment. After this phase, the implant can be safely positioned for prosthesis insertion according to the biological distance and satisfactory architecture of the peri-implant tissues. Department of Dentistry Materials and Prosthesis, University of ˜ the State of Sao Paulo, Brazil. * Corresponding author, e-mail: goiato@foa.unesp.br DOI: 10.1563/AAID-JOI-D-11-00086 R As several limitations result from tooth loss, Jovanovic7 presented the esthetic bone graft to recover bone height and width since the surrounding bone tissue supports the soft tissue.8 Thus, not only proper contour of bone tissue but also adequate manipulation and conditioning of soft tissue are important for treatment esthetics.8,9 In addition, Chee and Jivraj1 demonstrated that the greater the loss of soft and bone tissues, the greater the difficulty of providing satisfactory esthetics. Thus, considering the importance of obtaining restorations integrated to the facial-dental complex with regard to function and esthetics,9,10 the aim of this study was to present concepts for the esthetics of treatment with implant-supported prostheses through a literature review. MATERIALS AND METHODS The literature review was conducted through the PubMed database including case reports, classical studies, and comparative studies published from 1995 to 2010 with the keywords implant esthetics, implant-supported prostheses, and esthetics. 718 Vol. XXXVIII /No. Six /2012

Table of Contents for the Digital Edition of Journal of Oral Implantology December 2012

AAID Priceless Membership Benefit
Lateral Augmentation of the Maxilla and Mandible Using Framework Technique With Allogeneic Bone Grafts
Accuracy of Cone Beam Computerized Tomography and a Three-Dimensional Stereolithographic Model in Identifying the Anterior Loop of the Mental Nerve: A Study on Cadavers
Evaluation of Microgap Size and Microbial Leakage in the Connection Area of 4 Abutments With Straumann (ITI) Implant
Buccal Bone Plate Remodeling After Immediate Implant Placement With and Without Synthetic Bone Grafting and Flapless Surgery: Radiographic Study in Dogs
Evaluation of Soft Tissues Around Single Tooth Implants in the Anterior Maxilla Restored With Cemented and Screw-Retained Crowns
Accuracy of a Newly Developed Cone-Beam Computerized Tomography-Aided Surgical Guidance System for Dental Implant Placement: An Ex Vivo Study
Nasopalatine Canal Position Relative to the Maxillary Central Incisors: A Cone Beam Computed Tomography Assessment
Esthetics in Implant-Supported Prostheses: A Literature Review
Reliability of Implant Surgical Guides Based on Soft-Tissue Models
Clinical Evaluation of Short and Wide-Diameter Implants Immediately Placed Into Extraction Sockets of Posterior Areas: A 2-Year Retrospective Study
Single Stage Immediate Implant Placements in the Esthetic Zone
Removal of Fractured Dental Implant Screw Using a New Technique: A Case Report
Restoration of Failing Maxillary Implant-Supported Fixed Prosthesis With Cross Arch Splinted Unilateral Zygomatic Implant: A Clinical Report
Oral Rehabilitation of Severe Dentoalveolar Trauma: A Clinical Report
Implant Installation With Bone Augmentation and Transmucosal Healing With Demineralized Human Cortical Bone in the Maxillary Anterior Region: Report of 3 Cases
Bone Morphogenic Protein: An Elixir for Bone Grafting—A Review
Orthodontic Considerations in Restorative Management of Hypodontia Patients With Endosseous Implants
Squamous Cell Carcinoma in Association With Dental Implants: An Assessment of Previously Hypothesized Carcinogenic Mechanisms and a Case Report
Indirect Osteotome Maxillary Sinus Floor Elevation: An Update
Reliability of Implant Surgical Guides Based on Soft-Tissue Models: A Methodological Mistake

Journal of Oral Implantology December 2012