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Sunday, May 8, 2022

Clinical considerations in the surgical management of peri‐implantitis lesions in the esthetic zone

alexandrossfakianakis shared this article with you from Inoreader

Abstract

Objective

The treatment of peri-implantitis is commonly associated to soft tissue changes as part of disease resolution. These changes may alter harmony in the esthetic area, and thus may negatively affect patient satisfaction. This technical note presents the key features that may lead to an unsatisfactory esthetic outcome when managing peri-implantitis in the anterior zone.

Clinical Significance

It is essential to consider four pivotal elements in securing therapeutic success through the resolution of inflammation while maintaining esthetics: (1) patient-related factors, including patient willingness to treat and the smile line; (2) implant-related factors that influence implant position; (3) site-related factors related to defect configuration; and (4) prosthetic-related factors referred to the prosthetic emergence profile and the type of prosthesis. A comprehensive examination must be carried out preoperatively to assess the impact of the surgical treatment upon the esthetic outcomes.

Conclusion

The clinician must be aware of the key features that condition the esthetic outcome when managing peri-implantitis.

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