Esthetic Soft Tissue Management of Teeth and Implants

This book offers a step-by-step guide to success in periodontics and implant dentistry, helping clinicians to create a natural and esthetically pleasing smile for their patients. Starting with a general discussion of facial esthetics and analyzing the dento-gingival constituents of the smile, the book goes on to consider the impact of these on people's quality of life. Subsequent chapters focus on specific esthetic treatments such as crown lengthening procedures, gingival recession coverage with connective tissue grafts or periodontal regenerative material and soft tissue management for natural teeth and implants.

Table of Contents

Foreword ix

Acknowledgments x

1 Introduction 1

2 To smile or not to smile 5

The impact of esthetics 5

Dental esthetics 7

The smile-related quality of life 7

The senior citizen’s smile 10

3 The esthetics of the face 13

The face 13

The lips 13

4 The dentoalveolar gingival unit 20

The gingiva 21

The bone 37

The teeth 50

The interproximal bone height and the interdental implant papilla 54

The pink/white esthetic score, or PES/WES 61

The biological space 63

Final remarks 65

5 Esthetic periodontal treatment 66

The biological rationale 66

Crown lengthening procedures 68

Gingival recession coverage 85

Final remarks 100

6 Esthetic implant treatment 102

Peri-implant risk factors 103

Soft tissue management 106

Final remarks 155

7 Conclusion 160

References 165

Index 175