Case 1: Achieving the desired emergence profile - IMPLANT ESTHETICS

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Case 1: Immediate loading Dental Implant in 2.2 and Soft tissue Esthetics
Achieving the desired emergence profile in anterior dental implants are always challenging. Here is a case of a single immediate loaded implant in tooth 2.2 which was done with Nobel active narrow implants. Immediate loading was done with chair side composite on temporary screw retained abutment. One can see how the soft tissue gets molded over a span of 5 months and the gingival cuff that is achieved is commendable. 

The method of using a stock impression coping and customising the emergence profile with the use of existing provisional crown as an index, is one of the easiest method in analog dentistry. Ofcourse, digitial intra oral scanners are available which makes dentists’ job simple. However, here you can see the sequential set of images with description within on how the emergence can be created and replicated in your impression. The type of prosthesis which was decided was a custom zirconia abutment with lava crowns in the anteriors. This case was done completely by me at Parasu dental Hospital, Chennai.


The other crowns involving 1.1, 2.1 and 2.3 were carried out by another restorative dentist and those crowns were fixed on the day of implant surgery.


The surgical phase with implant placement and immediate provisional layered with composite resin is done. Next phase will begin after 5 -6 months of healing.









Thus, we see as to how important it is to mold the soft tissues and replicating them to achieve the desired esthetics.

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