Challenging Factors in Dental Implant Therapy in The Aesthetic (Smile) Zone

What makes implant replacement of teeth in the aesthetic zone so challenging is not only its visibility, but also variations in bone and soft tissue anatomy and biotypes. This patient had thick soft tissue biotype, but very thin buccal plate with severe undercut. So site preservation and digital planning was crucial in achieving the desired outcome. What’s even more important is patient’s expectations due to gingival disharmony. In this case, she accepted longer restoration on the implant to match the natural left central incisor.

This treatment was done in 3 stages:

  1. Extraction & socket graft
  2. Implant placement with prototype restoration to design gingival level
  3. Final restoration once soft tissue design was achieved.

dental implant challenges in the smile zone upper front area with best cosmetic result