Dental implants are attractive to those who want to return functionality and aesthetics to the mouth. Of course, it is understandable when an aesthetic outcome plays more important role for the patient than the other components of treatment. Dental specialists understand the difficulty to combine the beauty and health of teeth in one surgical procedure, and the impossibility to achieve aesthetics without a successful therapeutic effect. The aesthetic outcome can not be achieved if there is a problem with osseointegrated implants prosthetic attachments.
Therefore, speaking about the aesthetics of dental implants, it is important to understand that it requires special attention and professional skills from dentists and successful results from dental implant procedure in general. What does the aesthetic result of dental implants depend on? The obligatory conditions are the following:
– Prosthetic material;
– design and construction of the prosthesis (crown);
– qualification of the orthopedic surgeon;
– formation of marginal gingiva around the supragingival part of an implant.
It is often the patient who makes the choice of materials for achieving the aesthetic result, but the result itself depends on the dentist, that is why another aspect, affecting aesthetics, is mutual understanding. It is important for the patient to obtain the desired outcome and for the doctor not to create additional difficulties. They need a mutually beneficial compromise.
The problem of aesthetics is the most acute in the frontal area, i.e. in the smile zone. Aesthetics of both the gum and soft tissues surrounding the implant must be achieved in this zone. The surgeon must correct the deficit of bone volume in case when long-term absence of teeth has caused severe atrophy. The most natural look of the gum will be achieved if the crown is placed just below the level of the soft tissue which must not have any visible differences from the tissue around the adjacent teeth.
The procedure of adjusting the level of the gums with the classical dental implant technique is performed in the following stages.
1. The procedure of implant placement with/without prior bone augmentation.
2. the procedure of soft tissue preparation is performed in 1-2 months. The special healing abutment (cap) is placed on the implant, which creates the conditions to the gums around the implant to heal and look naturally.
The specialists of the company Bio3 Implants remind that there some difficulties in achieving aesthetic result with non-classic dental implant techniques, for example, basal implantation. The fact is that basal implants are placed in cases when it is impossible to increase bone volume, that means that patients who receive basal implant therapy often have insufficient soft tissue volume. This will affect the appearance of the gums that may need additional adjusting. In this case the prosthesis with plastic gum portion is required, which helps to achieve aesthetics of the gum and natural appearance of the soft tissues without additional surgical intervention.
Flap surgery is performed if it is absolutely necessary and the patient agrees to this procedure. The procedure aims to adjust the level of the gum tissue around the implant.