Osseointegration and adhesion have dramatically improved the treatment modalities, and reinstatement of function is now achieved routinely. Aesthetics has emerged as a prerequisite to the acceptance of the final result, demanded by the patient, and the standards of excellence in prosthetic restorations. This article discusses the treatment planning criteria, including tissue augmentation, implant selection, and healing abutments; it also suggests a modification in the sequence of treatment planning by placing the provisional restoration at second-stage surgery. This "custom-guided" tissue healing serves to achieve natural aesthetics in soft tissues. The learning objective of this article is to familiarize the reader with the principles of custom-guided tissue healing and to address the aesthetic challenge.

Dental Abutments↗

PubMedDate not supplied

The double guidance concept.

The function in implant-supported restorations is now predictably achieved, and the emphasis has shifted to aesthetics. Simultaneously with this change in focus, the direction toward prosthetic restorations as the ultimate objective of implant procedures has evolved. The anticipated prosthesis now dictates the placement and angulation of the implant, thereby improving the function and, above all, the aesthetics of the final result. The purpose of this article is to discuss the concept of guidance for optimized management of hard and soft tissues, during the surgical procedure and during tissue healing. Particular attention is given to the reformation of the papillae.

Alveolar Ridge Augmentation↗

PubMedDate not supplied

Improved shape and emergence profile in an extensive ceramic rehabilitation.

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Adult↗