Parameters of Peri-Implant Aesthetics

  • Henriette LernerEmail author


Aim: The goal of the following is intended to provide a comprehensive overview of state-of-the-art peri-implant tissue management. This should empower the clinician to choose the most suitable method of implant therapy for a particular patient depending on the clinical findings, the tissue type, and his/her own surgical experience.

Summary: Over the past 50 years, implantology has evolved from an experimental treatment modality into a safe and effective method in dentistry. Today, in addition to osseointegration, aesthetics play a more and more important role including both white and pink aesthetics. The latter is controlled by an elaborate soft tissue management. This starts at the stage of tooth extraction and is perpetuated to the point of recall in the maintenance treatment. However, preserving marginal peri-implant tissues is more than adding improved aesthetics to successful osseointegration; vice versa, a state-of-the-art soft tissue management contributes to maintaining overall functional health and stability in the long term.

Key learning points: It is understood that bone thickness is a major factor in dental implantology. In addition, the periodontal soft tissue biotype should be given attention, as it is decisive for peri-implant soft tissue and bone stability. For example, an implant requires around itself 3 mm of tissue height/thickness and 3 mm of attached gingiva to allow for the buildup of a sufficient biological width; an initially thin biotype tissue will even compromise the buccal plate thickness. As a rule, minimally invasive surgical methods should be employed as well as abutment/crown designs for maximally tender soft tissue manipulation.


Implantology Minimally invasive methods Immediate implant placement Immediate loading Soft tissue management Biological width Pink aesthetic score 


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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.HL-DentclinicBaden-BadenGermany

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