Abstract
The ongoing pursuit of aesthetic excellence in the field of implant therapy has incorporated prosthetic concepts in the early treatment-planning phase, as well as the previously discussed surgical concepts. The literature has addressed these prosthetic and laboratory approaches required to enhance and perfect the soft and hard tissue management (SHTM). After surgically providing an acceptable hard tissue architecture and adequate timing of loading of the implant, the prosthetic phase is responsible for the soft tissue modeling, through correctly planned and executed procedures, which induce a satisfactory soft tissue profile by considering the microvasculature, the abutment connection and positioning, and the implementation of an adequate provisional phase. The objectives are the modeling of the soft tissues through the use of a conforming periorestorative interface which will produce desired and stable results.
Highlights
Timing of LoadingAs a component of the key factors responsible for the aesthetic success of implant therapy, the prosthetic aspect is as important as the surgical aspect
After surgically providing an acceptable hard tissue architecture and adequate timing of loading of the implant, the prosthetic phase is responsible for the soft tissue modeling, through correctly planned and executed procedures, which induce a satisfactory soft tissue profile by considering the microvasculature, the abutment connection and positioning, and the implementation of an adequate provisional phase
The surgical aspect should provide a reliable hard tissue foundation for the creation of a harmonious soft tissue profile, which is completed and perfected by a well-planned and carried out prosthetic phase. It Commences with the functional loading of the implant, with an appropriately designed abutment and temporary restoration in a provisional phase of treatment, which is responsible for the soft tissue modeling, followed by the placement of the permanent restoration once the desired soft tissue form has been obtained, which effectively maintains the results achieved through long-term stabilization of the tissues
Summary
As a component of the key factors responsible for the aesthetic success of implant therapy, the prosthetic aspect is as important as the surgical aspect. This research indicated that the timing in which mineralized bone is deposited is not as predictable as originally thought and concluded that by the 24th week following extraction of the tooth, the structural organization of the bone was not completed In light of these new results, and by applying these findings of socket healing to the healing that takes place following the placement of an implant, and contrarily to what previous studies indicated in relation to different loading protocols, the timing of loading of an implant must be carefully considered, and often a more delayed prosthetic functional loading may be the safer protocol to carry out
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