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ePaper created 2015-05-29, 13:18:43 | version 1.38.0
technique _ first part of an implant treatment I nective tissue, the grey titanium colour can be seen through the gum as a grey halo above the crown col- lar, which is detrimental to the aesthetic appearance (Figs. 32 & 33). “Systematically augment the thickness of buccal connective tissue.” _Conclusion The aesthetic fundamentals for an implant are in the preprosthetic surgical stages of the treatment. Any approximation in the location of the implant in such a narrow implant corridor, any lack of support for papillae or any deficiency in the thickness of hard or soft tissues, will result in aesthetic problems. The prosthetic stages allow optimisation of the result as regards the gingival context but any error in the sur- gical stage will often be impossible to correct during the prosthetic stages. For this reason it is vital to ap- proach this first part of the implant treatment for a lateral incisor with thoroughness and precision._ Editorial note: A complete list of references is available fromthepublisher. This article was originally published in the Éditions CdP prostheticjournal,No167,September2014andtheClinical MastersMagazineNo1/2015. Fig. 31_Insertion of connective graft buried under the papillae. Fig. 32_Clinical outcome in a case of gummy smile. I 19cone beam2_2015 Dr Philippe Russe, former assistant at the Reims University and Hospital. He runs his private practice in Reims,France. Dr Patrick Limbour, MCU-PH,Head of department of oral surgery,Pontchaillou University Hospital, Rennes,France. cone beam_about the authors Fig. 33_Insufficient soft tissue thick- ness alters the chromatic outcome. Fig. 31 Fig. 32 Fig. 33