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Establishing a Proper Emergence Profile for Posteriorly Placed Implants : Case Report
With the advances in implant dentistry, it is possible to restore normal function, comfort, esthetics, speech and health to a patient by removing a disease process from a tooth or replacing teeth with a prosthesis. Although surgical performance and osseointegration is still one of the key factors for a successful implant restoration, patients may be dissatisfied with the final restoration due to a poor esthetic outcome. The emergence profile also serves to preserve soft tissue by preventing potential areas for food accumulation areas. The purpose of this case report is to explain why it is important to establish an emergence profile for posteriorly placed implants and how to achieve it.
In this case report, a 54-year-old woman had to 4.1 x 10 mm implants (BEGO Implant Systems GmbH & Co) placed symmetrically on mandibular first molars and one 4.1 x 10 mm implant (BEGO Implant Systems GmbH & Co) placed on the maxillary right first molars. After osseointegration was completed, the patient came to out clinic for an implant-supported fixed prosthesis. Temporaries for three restorations were fabricated using the Natural Emergence Profiler. Restorations were checked every week for one month. Three weeks later, the final restorations were fabricated with customised abutments using Ti-Base. While cement retained fixed crowns were chosen for the mandible, screw-retained crowns were used for the maxilla.
Clinical findings were satisfactory for the case. After 3 months of follow-up, functional, biological and aesthetic problems were not detected in the restorations.
The success rate of the implant treatment should not be measured only by the survival of the implant. Remodelling of the soft tissue is an important key factor for the long-term success of the treatment and for patient satisfaction.