SOFT TISSUE MANAGEMENT

IN DENTAL IMPLANT PPDGS PERIODONSIA 2018

(ESTHETIC ZONE)
ESTHETICS IN
DENTISTRY
 FACIAL
ESTHETICS

1. Interpupillary line X occlusal plane

2. Tooth midline X interpupillary line
3. Lips X Facial
4. Facial proportions
5. Tooth exposure
6. Facial angles
7. Etc.
DENTO-FACIAL
ESTHETICS

1. Upper arch smile

2. Upper incisal position
3. Midline
4. Buccal corridor
5. Etc.
 DENTAL
ESTHETICS
1. Gingival health
2. Interdental closure
3. Tooth axis
4. Gingival zenith
5. Gingival margin balance
6. Level of interdental contact
7. Relative tooth dimension
8. Tooth form
9. Surface texture
10.Color
11. Incisal edge
IMPLANT SUPPORTED TOOTH
REPLACEMENT
PERTIMBANGAN GIGI PENGGANTI
BERPENYANGGA IMPLAN PADA ZONA
ESTETIK

Tissue Natural
3 dimensional Adequate Moulding : looking
implant supporting temporary implant
positioning tissue crown- supported
abutment restoration
IMPLANT POSITIONING
Buser D, et al. Optimizing Esthetic for Implant Restoration in the Anterior Maxilla: Anatomic and Surgical Considerations. INT J ORAL
MAXILLOFAC IMPLANTS 2004;19(SUPPL):43–61

IMPLANT POSITION SAFETY

ZONE
Barbosa, FT. 2014. 10 Tips about aesthetic implantology that will help you in your daily practive. Advanced Implantology and Digital Dentistry.

IMPLANT POSITION SAFETY

ZONE
Mesio-distal : 1.5 mm dari gigi asli
Apiko-koronal : 3-4 mm dari margin gingiva
Bukal-palatal : 1-2 mm lebih palatal dari emergence profile gigi tetangga
Misch CE. 2008. Contemporary implant dentistry 3rd Ed. Mosby, Elsevier, Missouri

INKLINASI IMPLAN
Misch CE. 2008. Contemporary implant dentistry 3rd Ed. Mosby, Elsevier, Missouri

ANGULASI IMPLAN FASIAL

SUPPORTING TISSUE
Barbosa, FT. 2014. 10 Tips about aesthetic implantology that will help you in your daily practive. Advanced Implantology and Digital Dentistry.

PAPILLA PRESENCE BETWEEN

TOOTH X IMPLANT
Barbosa, FT. 2014. 10 Tips about aesthetic implantology that will help you in your daily practive. Advanced Implantology and Digital Dentistry.

INTER-IMPLANT DISTANCE TO
SECURE BONE CREST THAT
SUPPORTS PAPILLA

3mm
BUCCAL BONE THICKNESS VS
SOFT TISSUE RECESSION

the present general opinion advises the need for a 2-mm-thick buccal bone plate in
order to avoid vertical bone resorption and ensure soft tissue support
Linkevicius T, Apse P, Grybauskas S, et al. The influence of soft tissue thickness on crestal bone changes around implants: a 1-year prospective controlled clinical trial.
Int J Oral Maxillofac Implants 2009; 24:712–719.

SOFT TISSUE THICKNESS VS

BONE LOSS
INCREASE SOFT TISSUE VOLUME
= EXTRA FLEXIBILITY
EXTRA TISSUE TO PLAY WITH
 SOFT TISSUE MOULDING
SOFT TISSUE CONTOUR PRESERVATION
Barbosa, FT. 2014. 10 Tips about aesthetic implantology that will help you in your daily practive. Advanced Implantology and Digital Dentistry.

Kontur kritikal : 1mm di bawah margin gingiva

Kontur subkritikal : dibawah kontur kritikal. Kontur ini dapat memberikan ruang
bagi jaringan lunak (konkaf)