Management of Peri-implant Soft Tissue Emergence Profile and Accurate Transfer Technique

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Objectives: Today, the focus of implant dentistry has moved from osseointegration to meeting aesthetic prospects. Aesthetic demands may be satisfied with a suitable emergence profile created in peri-implant healthy soft tissue, this could be a challenging and time-consuming stage. In this article, the one-step formation of a peri-implant emergence profile and an indirect impression technique that preserves the obtained soft-tissue form are described through cases. Methods: In the cases with missing teeth in aesthetic areas, all detailed consent was obtained from the patients. After the placement of the implants, individual temporary crowns were placed immediately and were not removed until the osseointegration was completed in order to create a peri-implant soft tissue profile that would meet the aesthetic and biological requirements. After the healing period, impressions were taken using custom-prepared impression posts by adding resin material to support the formed mucosa. Thus, the soft tissue profiles could be reflected in the models, and the emergence profiles of temporary crowns could be transferred to the final restorations. Results: The aesthetic and biological demands were practically satisfied at the expected level by following the present method. Conclusion: It is possible to manage the soft tissue around the implant in one step and transfer it to the impression easily. An ideal soft-tissue form that meets the aesthetic and biological demands can be obtained, and transferred to the permanent prosthesis, while time saved with this effortless clinical technique.