Aesthetic dental implant
What is an implant in the aesthetic zone?
This is a dental implant to be placed on a visible part when smiling. The incisors, canines and premolars of the two dental arches are considered in the aesthetic zone.
Aesthetic zone requirements
The dental implant does not only have a functional role, its aesthetic role is also essential.
The success of an implant in the aesthetic zone depends as much on the appearance of the prosthesis (color, transparency and shape of the crown) as on the appearance and shape of the surrounding gum.
No compromise can be made in this area and the most sophisticated techniques must be used.
Each stage of implant treatment is very important for the end result to look natural.
Problems linked to the aesthetic zone
During the tooth extraction, a reduction in bone volume appears irreparably within 3 months.
This post-extraction bone reduction is accompanied by a collapse of the gum, which is no longer supported.
These bone and gingival retractions have detrimental effects on the aesthetics of implant rehabilitation.
Specific techniques must be used to counter these processes and maintain a gum and bone level.
On the other hand, when a tooth located in the cosmetic zone is removed, it is better to immediately have a fixed temporary tooth on the implant, so that you can continue to have a normal life.
An immediate loading technique (immediate aesthetic) must be used in order to maintain aesthetics and comfort.
Establishment procedure in the aesthetic zone
The most suitable protocol for the management of implants in the aesthetic zone is as follows: extraction / alveolar bone preservation / implantation / connective tissue graft / immediate aesthetic loading.
In the same intervention,
- Atraumatic tooth extraction
- Placement of the dental implant in an ideal three-dimensional position.
- Filling the socket with a biomaterial to limit bone resorption.
- Connective tissue graft, this involves adding the internal part of the palatal tissue under the gum at the level of the implant. This piece of tissue is often taken from the upper wisdom teeth and is gently inserted between the gum and the bone by a tunnel technique. The purpose of this transplant is to compensate for the small loss of bone volume and keep the gum and the papillae in their original position.
- Immediately place a temporary abutment and crown.
You come to the office with a tooth to be extracted, and you leave with a fixed tooth on the implant.
After 3 months of healing, the abutment and the temporary crown are replaced by a ceramic abutment and crown.