Abstract

Achieving optimal aesthetic outcomes in dental implants within the aesthetic zone requires careful attention to both the surrounding soft tissues and the emergence profile. This presentation will focus on the critical factors influencing these two aspects, which are essential for a natural and harmonious implant restoration. Proper development of the emergence profile is crucial for ensuring a seamless integration between the implant restoration and the surrounding tissues, preventing issues such as tissue bulging or collapse. The presentation will explore techniques to design and create the ideal emergence profile through the use of customized abutments, provisional restorations, and digital planning tools. Additionally, the management of soft tissues around implants will be discussed, emphasizing the importance of preserving or augmenting the volume, maintaining adequate keratinized tissue architecture, and ensuring proper gingival margin positioning. Soft tissue management under contemporary microsurgical concepts, including minimally invasive procedures and grafting, will be presented as effective strategies to enhance aesthetic results. By addressing both emergence profile development and soft tissue considerations, this presentation aims to provide clinicians with practical insights for achieving superior, long-lasting aesthetic outcomes in the aesthetic zone.

Learning Objectives

• To identify the critical factors influencing soft and hard tissues healing around implants in the esthetic zone.
• To learn different clinical strategies to compensate the dimensional changes after single or multiple extractions in areas of esthetic demands.
• To recognize the fundamental biological aspects influencing wound healing and tissue stabilization through provisional restorations. 
• To discuss the execution of immediate and delayed implant placement in the esthetic zone.
• To discuss the most relevant factors in periimplant plastic surgery in the esthetic zone.
• To demonstrate long term results in different clinical scenarios.