Problem Solving Guidelines for Aesthetically Compromised Maxillary Anterior Implant Restorations

Abstract

The objective of modern implant dentistry is to provide a long lasting restoration that harmoniously replicates the contours of the neighbouring hard and soft tissue. Improvements in implant designs, materials, surfaces and surgical techniques have allowed for osseointegration to be achieved predictably. However, dimensional differences between the implant and the extracted tooth, as well as biological limitations at the site make aesthetics of the restoration the greater challenge. Over the years, several methods of assessing the aesthetics of an implant restoration using various visual analogue scales have been proposed, though they have mostly been used as a means for clinicians to assess the outcome of their restoration. Nevertheless, the final aesthetic outcome depends on the patient’s satisfaction of their restoration. Based on clinical findings and a review of the literature, a guideline has been proposed highlighting the common complaints a patient has towards their implant supported restoration, and several methods of addressing these complaints have been discussed. Shalin Vinayak*, Lara Ceballos, Carlos Diaz-Mauriño, Stephen Chi and Yung Cheng Paul Yu Department of Periodontology and Implant Dentistry, New York University *Address for Correspondence Shalin Vinayak, Department of Periodontology and Implant Dentistry, New York University, Clinic 5W, 345 E 24th St, New York, NY 10010, USA, Tel: +1 (212)-992-7040; E-mail: sv1506@nyu.edu Submission: 15 January, 2018 Accepted: 30 April, 2018 Published: 06 May, 2018 Copyright: © 2018 Vinayak S, et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Review Article Open Access