Immediate implant placement is a successful procedure that can offer several advantages over delayed implant placement. From chairside time saving to enhanced soft tissue contour, to enhanced hard and soft tissue preservation this procedure allows the achievement of ideal anterior peri-implant esthetics. When coupled with immediate loading, it also offers a level of patient satisfaction that is likely unmatched. The most important area where success or failure is evident is at the soft tissue-prosthesis interface. Several clinical suggestions, at times conflicting, have been made to ideally design the prosthesis emergence profile. However, the interactions between a specific emergence profile and the surrounding soft tissues remains unclear.
This presentation will draw on what we know related to emergence profile of tooth-supported prostheses and attempt to expand to include not only the general effect that fixed prostheses have on the periodontium, but also highlight more specifically the role that peri-implant soft tissues have in ensuring an esthetic and stable white and pink esthetics.
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