2015 The International journal of …

Tissue preservation strategies for fostering long-term soft and hard tissue stability.

The International journal of periodontics & restorative dentistry Vol. 35 (3) : 363-71 • May 2015

As placement of functionally stable dental implants has become routine, concerns have shifted to maintenance of crestal bone and soft tissue stability. This article proposes the development of a tissue preservation philosophy to avoid crestal bone loss and gingival recession and thus foster long-term esthetics around implants. Pillars of this philosophy must include avoidance or minimization of an implant-abutment microgap and micromovement, use of platform switching, appropriate implant positioning relative to the bone crest, and preservation of the papillae when placing both single and multiple implants.

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