Perimplant Soft Tissue Considerations in the Esthetic Zone

One of the key elements of implant maintenance and longevity is good physiological architecture of the supporting tissues to form an appropriate environment for implants to yield both functional and cosmetic benefits. This paper analyzes the position of periimplant soft tissues which is largely determined by biological factors like periodontal bioform, the biotype, biological width and the osseous architecture which in turn determine the position of the gingival margin and the interdental papilla. The adequacy of keratinized gingiva and its relevance to implant based restorations has also been appraised. Clinical relevance: Understanding the soft tissues parameters dentists can ensure long term success and longevity of implant based restorations especially with respect to the highly demanding esthetic zone. Objective: To understand the impact of soft tissue parameters on successful outcome of implant based restorations in the esthetic zone.