Soft Tissue Considerations for Optimizing Implant Esthetics

O ur interrelationships with patients and colleagues are greatly tested when treatment planning in the esthetic zone. Patients today seek quicker approaches for achieving tooth replacement and esthetic results.1 Achievement of osseointegration, however, does not always correlate to a successful esthetic outcome. Frequently there is a balancing act between the oral plastic reconstructive implant surgeon and the restorative dentist in their attempts to deliver the patient’s expected tooth replacement and the realities of predictable treatment results. Comprehensive treatment planning from the outset and understanding the specific values, needs, and expectations of the patient are essential for an overall successful result.2 To avoid unexpected disappointments, prior to any surgery, clinicians need to share with the patient the case-specific limitations upon treatment based on the patient’s clinical presentation and esthetic concerns.