A Simplified Method For Evaluating Optimized Gingival Contour For Single Implant Supported Zirconia Crown In The Aesthetic Zone - An In Vivo Study

Abstract

Introduction- Restoring missing teeth in the aesthetic area specially anterior maxilla with implants is particularly challenging, because this is a highly visible area that frequently presents anatomical challenges for implant placement, such as insufficient available bone volume and thin soft tissue. Achieving an optimal esthetic result when replacing a single missing tooth with an implant in the esthetic zone is a very demanding procedure, since no deficit of bone or soft tissue can be accepted.
Material and Method- A total of 10 patients were chosen for the study which requires placement of implants in the missing maxillary anterior tooth region. Dentists of two different dental specialties (one prosthodontist and one periodontist) evaluated the pink esthetic score (PES) at the baseline, after 3 months follow up and 6 months follow up.
Result-The mean PES score based on clinical evaluation and photographic evaluation after crown placement (Baseline) and at the 3 months and 6 months follow up are presented with significant differences for all the variables of pink esthetic score (PES) except for soft tissue colour.
Conclusion- The PES is a tool for reproducibly evaluating the esthetic appearance of the soft tissue around single-tooth implant crowns. The esthetic outcome of soft tissue around a single-tooth implant was improved significantly after a 6-month follow-up compared with the baseline according to PES assessment.