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Stomatologija 2023; 25 (2): 47-54 253 KB

Emergence profile management in the esthetic zone

Justina Gervyte*, Zivile Zidonyte*, Rita Trumpaite-Vanagiene*, Tomas Linkevicius*

Summary

Objective. Implantation and prosthodontics in the anterior zone are considered the most difficult procedures in dentistry. Creating an appropriate emergence profile is necessary to achieve both stable peri-implant tissues and esthetically acceptable outcomes with implant-supported restorations, especially when conditions are limited. This article provides clinical recommendations and presents solutions on how to establish a proper emergence profile when unfavorable clinical outcomes occur.

Materials and methods. Online database PubMed and Cochrane Library were searched by using the following keywords in various combinations: dental implant, emergence profile, esthetic zone and soft tissue shaping. All studies fulfilling the selection criteria were carefully reviewed and 8 studies that met the principles were selected for this review.

Clinical considerations. The emergence profile is influenced by multiple factors, including the position of the implant and the surrounding soft tissues. It is essential to have a thorough understanding of different zones of the emergence profile and their relationship with various factors, such as implant position and soft tissue quality. The guidelines presented in this article shows possible manipulations on the restoration design according to implant position and surrounding soft tissues.

Conclusions. Implant position and soft tissue condition have to be evaluated carefully before making prostheses in order to achieve the proper esthetic view. Understanding distinctive emergence profile characteristics results in the best possible esthetic outcome. Clinical significance. Acknowledgement of how to design an emergence profile when clinical conditions are not in clinician’s favor helps to accomplish sufficient results.

Key words: dental implant, emergence profile, esthetic zone, soft tissue shaping.

Received: 29 03 2022

Accepted for publishing: 23 06 2023

*Institute of Dentistry, Faculty of Medicine Vilnius University, Lithuania

Address correspondence to Zivile Zidonyte, Institute of Dentistry, Faculty of Medicine, Vilnius University, Zalgirio st. 117, LT-08217 Vilnius, Lithuania.

E-mail address: z.zidonyte@gmail.com



	Baltic Dental and Maxillofacial Journal

2023, Vol. 25, No. 2 CONTENTS SCIENTIFIC ARTICLE Evaluation of the effects of melatonin and vitamin D on wound healing in immunosuppressive rats following tooth extraction Dilber Celik, Hasan Ayberk Altug, Aydin Ozkan, Sibel Elif Gultekin, Metin Sencimen, Omer Orkun Cevizcioglu 31-37 REVIEW White spot lesions risk management prior and during the orthodontic treatment Ieva Gudeleviciute, Nerija Spaicyte, Indre Migoniene, Arunas Vasiliauskas 39-46 Emergence profile management in the esthetic zone Justina Gervyte, Zivile Zidonyte, Rita Trumpaite-Vanagiene, Tomas Linkevicius 47-54 CASE REPORT Twenty eight months marginal bone level follow-up of an immediate post-extractive implant with immediate definitive loading Graziano Montaruli, Alberto Dedola, Khrystyna Zhurakivska, Michele Laurenziello, Michele Tepedino, Renato Celletti, Giuseppe Troiano 55-60 © 2023 Stomatologija		Stomatologija 2023; 25 (2): 47-54 253 KB Emergence profile management in the esthetic zone Justina Gervyte, Zivile Zidonyte, Rita Trumpaite-Vanagiene, Tomas Linkevicius Summary Objective. Implantation and prosthodontics in the anterior zone are considered the most difficult procedures in dentistry. Creating an appropriate emergence profile is necessary to achieve both stable peri-implant tissues and esthetically acceptable outcomes with implant-supported restorations, especially when conditions are limited. This article provides clinical recommendations and presents solutions on how to establish a proper emergence profile when unfavorable clinical outcomes occur. Materials and methods. Online database PubMed and Cochrane Library were searched by using the following keywords in various combinations: dental implant, emergence profile, esthetic zone and soft tissue shaping. All studies fulfilling the selection criteria were carefully reviewed and 8 studies that met the principles were selected for this review. Clinical considerations. The emergence profile is influenced by multiple factors, including the position of the implant and the surrounding soft tissues. It is essential to have a thorough understanding of different zones of the emergence profile and their relationship with various factors, such as implant position and soft tissue quality. The guidelines presented in this article shows possible manipulations on the restoration design according to implant position and surrounding soft tissues. Conclusions. Implant position and soft tissue condition have to be evaluated carefully before making prostheses in order to achieve the proper esthetic view. Understanding distinctive emergence profile characteristics results in the best possible esthetic outcome. Clinical significance. Acknowledgement of how to design an emergence profile when clinical conditions are not in clinician’s favor helps to accomplish sufficient results. Key words: dental implant, emergence profile, esthetic zone, soft tissue shaping. Received: 29 03 2022 Accepted for publishing: 23 06 2023 *Institute of Dentistry, Faculty of Medicine Vilnius University, Lithuania Address correspondence to Zivile Zidonyte, Institute of Dentistry, Faculty of Medicine, Vilnius University, Zalgirio st. 117, LT-08217 Vilnius, Lithuania. E-mail address: z.zidonyte@gmail.com