{"id":849,"date":"2026-05-28T09:22:37","date_gmt":"2026-05-28T09:22:37","guid":{"rendered":"https:\/\/forum-impl.iti.org\/en\/?post_type=article&p=849"},"modified":"2026-06-12T12:39:08","modified_gmt":"2026-06-12T12:39:08","slug":"prosthetically-driven-techniques-to-compensate-periimplant-soft-tissue-deficiencies-2204","status":"publish","type":"article","link":"https:\/\/forum-impl.iti.org\/en\/article\/prosthetically-driven-techniques-to-compensate-periimplant-soft-tissue-deficiencies-2204\/","title":{"rendered":"Prosthetically Driven Techniques to Compensate Peri-Implant Soft Tissue Deficiencies"},"content":{"rendered":"","protected":false},"featured_media":0,"template":"","meta":{"_acf_changed":false},"article-type":[5],"forum-tag":[193,201,54,202,200],"class_list":["post-849","article","type-article","status-publish","hentry","article-type-feature-article","forum-tag-implant-esthetics","forum-tag-implant-prosthetic-design","forum-tag-peri-implant-soft-tissue","forum-tag-pink-ceramics","forum-tag-soft-tissue-deficit"],"acf":{"feature_topic":1458,"authors":[1118,1062,1186,980],"read_time":"12 min","publication_date":"20161114","doi":"10.3290\/iti.fi.45684","excerpt":"Local soft tissue deficits often follow tooth loss and implant therapy. Under these circumstances, future implant reconstructions should aim to completely or at least partially compensate this loss in order to minimize any adverse effects, namely compromising subjective patient comfort. In the main, this encompasses disconcerting food impaction, as well as esthetic and phonetic impairment. The present article reviews the relevant prosthetically driven compensation measures, confining itself to the esthetic zone of partially dentate implant patients and fixed dental prostheses (FDP). ","references":"Araujo, M.G. & Lindhe, J. (2005) Dimensional ridge alterations following tooth extraction. An experimental study in the dog. Journal of Clinical Periodontology <\/em>32<\/strong>: 212 - 218.\r\n\r\nBarzilay, I. & Irene, T. (2003) Gingival prosthesis \u2013 A review. Journal of the Canadian Dental Association<\/em> 69<\/strong>: 74 - 78.\r\n\r\nBelser, U. C., Bernard, J. P. & Buser, D. (1996) Implant-supported restorations in the anterior region: prosthetic considerations. Practical Periodontics and Aesthetic Dentistry<\/em> 8<\/strong>: 875 - 883.\r\n\r\nBelser, U.C., Buser, D., Hess, D., Schmid, B., Bernard, J.-P. & Lang, N.P. (1998) Aesthetic implant restorations in partially edentulous patients \u2013 a critical appraisal. Periodontology 2000<\/em> 17<\/strong>: 132 - 150.\r\n\r\nBelser, U., Martin, W., Jung, R., H\u00e4mmerle, C., Schmid, B., Morton, D. & Buser, D. (2006) ITI Treatment Guide, Vol 1: Implant Therapy in the Esthetic Zone - Single Tooth Replacements. Editors: Belser, U., Buser, D. & Wismeijer, D., Berlin: Quintessence Publishing Co., Ltd.\r\n\r\nBelser, U. C., Gr\u00fctter, L., Vailati, F., Bornstein, M. M., Weber, H. P., Buser, D. (2009) Outcome evaluation of early placed maxillary anterior single-tooth implants using objective esthetic criteria: a cross-sectional, retrospective study in 45 patients with a 2- to 4-year follow-up using pink and white esthetic scores. Journal of Periodontology<\/em> 80<\/strong>: 140 - 151.\r\n\r\nBelser, U.C. & Buser, D. (2012) Replacement of four incisors with a fixed partial denture on two narrow-neck implants after implant failure. In: ITI Treatment Guide, Vol 6: Extended Edentulous Spaces in the Esthetic Zone. Editors: Wismeijer, D., Chen S. & Buser D., Berlin: Quintessence Publishing Co., Ltd.\r\n\r\nBidra, A. S. & Chapokas, A. R. (2011) Treatment planning challenges in the maxillary anterior region consequent to severe loss of buccal bone. Journal of Esthetic and Restorative Dentistry<\/em> 23<\/strong>: 354 - 360.\r\n\r\nBoardman, N., Darby, I. & Chen, S. (2016) A retrospective evaluation of aesthetic outcomes for single-tooth implants in the anterior maxilla. Clinical Oral Implants Research <\/em>27<\/strong>: 443 - 451.\r\n\r\nBuser, D., Martin, W., Belser, U. C. (2004) Optimizing esthetics for implant restorations in the anterior maxilla: anatomic and surgical considerations. International Journal of Oral and Maxillofacial Implants <\/em>19<\/strong> Suppl: 43 - 61.\r\n\r\nBuser, D., Chappuis, V., Bornstein, M. M., Wittneben, J. G., Frei, M. & Belser, U. C. (2013) Long-term stability of contour augmentation with early implant placement following single tooth extraction in the esthetic zone: a prospective, cross-sectional study in 41 patients with a 5- to 9-year follow-up. Journal of Periodontology<\/em> 84<\/strong>: 1517 - 1527.\r\n\r\nCapa, N. (2007) An alternative treatment approach to gingival recession: gingival-colored partial porcelain veneers \u2013 a clinical report. Journal of Prosthetic Dentistry <\/em>98<\/strong>: 82 - 84.\r\n\r\nCascione, D., Nowzari, H. & Kim, T.H. (2008) Simulated tissue in modern implant dentistry. Spectrum Dialogue <\/em>7<\/strong>: 64 - 76.\r\n\r\nChappuis, V., Bornstein, M. M., Buser, D. & Belser, U.C. (2016) Influence of implant neck design on facial bone crest dimensions in the esthetic zone analyzed by cone beam CT: a comparative study with a 5-to-9-year follow-up. Clinical Oral Implants Research<\/em> 27<\/strong>: 1055 - 1064.\r\n\r\nCoachman, C., Salama, M., Garber, D., Calamita M., Salama, H. & Cabral, G. (2009) Prosthetic gingival reconstruction in a fixed partial restoration. Part 1: introduction to artificial gingiva as an alternative therapy. International journal of periodontics and restorative dentistry. International Journal of Periodontics and Restorative Dentistry<\/em> 29<\/strong>: 471 - 477.\r\n\r\nFurze, D., Byrne, A., Alam, S. & Wittneben, J. G. (2016) Esthetic Outcome of Implant Supported Crowns With and Without Peri-Implant Conditioning Using Provisional Fixed Prosthesis: A Randomized Controlled Clinical Trial. Clinical Implant Dentistry and Related Research<\/em> doi: 10.1111\/cid.12416 [Epub ahead of print].\r\n\r\nGallucci, G. O., Belser, U. C., Bernard, J. P. & Magne, P. (2004) Modeling and characterization of the CEJ for optimization of esthetic implant design. International Journal of Periodontics and Restorative Dentistry<\/em> 24<\/strong>: 19 - 29.\r\n\r\nGallucci, G. O., Gr\u00fctter, L., Nedir, R., Bischof, M. & Belser, U. C. (2011) Esthetic outcomes with porcelain-fused-to-ceramic and all-ceramic single-implant crowns: a randomized clinical trial. Clinical Implant Dentistry and Related Research <\/em>22<\/strong>: 62 - 69.\r\n\r\nGarber, D. A. & Belser, U. C. (1995) Restoration-driven implant placement with restoration-generated site development. Compendium of Continuing Education in Dentistry <\/em>16<\/strong>: 796, 798 - 802, 804.\r\n\r\nJensen, J., Joss, A. & Lang, N.P. (1999) The smile line of different ethnic groups depending on age and gender. Acta Medicinae Dentium Helvetica<\/em> 4<\/strong>: 38 - 46.\r\n\r\nKamalakidis, S., Paniz, G., Kang, K.H. & Hirayama, H. (2007) Nonsurgical management of soft tissue deficiencies for anterior single implant-supported restorations: a clinical report. Journal of Prosthetic Dentistry <\/em>97<\/strong>: 1 - 5.\r\n\r\nKim, T.H., Cascione, D., Knezevic, A. & Nowzari, H. (2010) Restoration using gingiva-colored ceramic and ridge lap pontic with circumferential pressure: A clinical report. Journal of Prosthetic Dentistry <\/em>104<\/strong>: 71 - 76.\r\n\r\nLevine, R. A., Huynh-Ba, G. & Cochran, D. L. (2014) Soft tissue augmentation procedures for mucogingival defects in esthetic sites. International Journal of Oral and Maxillofacial Implants<\/em> 29<\/strong> Suppl: 155 - 185.\r\n\r\nLevin, B. P., Rubinstein, S. & Rose, L. F. (2015) Advanced Esthetic Management of Dental Implants: Surgical and Restorative Considerations to Improve Outcomes. Journal of Esthetic and Restorative Dentistry<\/em> 27<\/strong>: 224 - 230.\r\n\r\nMagne, P., Gallucci, G. O. & Belser, U. C. (2003) Anatomic crown width\/length ratios of unworn and worn maxillary teeth in white subjects. Journal of Prosthetic Dentistry<\/em> 89<\/strong>: 453 - 461.\r\n\r\nMor\u00e1guez, O., Vailati, F., Gr\u00fctter, L., Sailer, I. & Belser, U. C. (2016) Four-unit fixed dental prostheses replacing the maxillary incisors supported by two narrow-diameter implants - a five-year case series. Clinical Oral Implants Research<\/em> doi: 10.1111\/clr.12895.\r\n\r\nMor\u00e1guez, O. D., Vailati, F. & Belser, U. C. (2015) Malpositioned implants in the anterior maxilla: a novel restorative approach to reestablish peri-implant tissue health and acceptable esthetics. Part II: Case report and discussion. International Journal of Esthetic Dentistry <\/em>10<\/strong>: 522 - 532.\r\n\r\nPapadimitriou, D. E., Chochlidakis, K. M., Weitz, D. S., Wazirian, B. & Ercoli, C. (2014) Surgical and prosthetic management of ridge deficiency for an implant-supported restoration in the esthetic zone. Journal of Prosthetic Dentistry <\/em>112<\/strong>: 409 - 413.\r\n\r\nPapaspyridakos, P., Amin, S., El-Rafie, K. & Weber, H. P. (2016) Technique to Match Gingival Shade when Using Pink Ceramics for Anterior Fixed Implant Prostheses. Journal of Prosthodontics <\/em>doi: 10.1111\/jopr.12483 [Epub ahead of print].\r\n\r\nSpear, F. (2008) The use of implants and ovate ponticsin the esthetic zone. Compendium of Continuing Dental Education <\/em>29<\/strong>: 72 - 80.\r\n\r\nSterrett, J.D., Oliver, T., Robinson, F., Fortson, W., Knaak, B. & Russell, C.M. (1999) Width\/length ratios of normal clinical crowns of the maxillary anterior dentition in man. Journal of Clinical Periodontology <\/em>26<\/strong>: 153 - 157.\r\n\r\nTarnow, D., Elian,, N., Fletcher P., Froum, S., Magner, A., Cho, S. C., Salama, M., Salama, H. & Garber, D. A. (2003) Vertical distance from the crest of bone to the height of the interproximal papilla between adjacent implants. Journal of Periodontology<\/em> 74<\/strong>: 1785 - 1788.\r\n\r\nTettamanti, S., Millen, C., Gavric, J., Buser, D., Belser, U. C., Br\u00e4gger, U. & Wittneben, J. G. (2016) Esthetic Evaluation of Implant Crowns and Peri-Implant Soft Tissue in the Anterior Maxilla: Comparison and Reproducibility of Three Different Indices. Clinical Implant Dentistry and Related Research<\/em> 18<\/strong>: 517 - 526.\r\n\r\nVailati, F. & Belser, U.C. (2007) Replacing four missing maxillary incisors with regular- or narrow-neck implants: analysis of treatment options. European Journal of Esthetic Dentistry<\/em> 2<\/strong>: 42 - 57.\r\n\r\nVailati, F. & Belser, U.C. (2011) Implant-supported fixed prostheses with integrated artificial gingiva for the esthetic zone: the Pink Power Concept. Forum Implantologicum<\/em> 7<\/strong>: 108 - 123.\r\n\r\nWittneben, J. G, Buser, D., Belser, U. C. & Br\u00e4gger, U. (2013) Peri-implant soft tissue conditioning with provisional restorations in the esthetic zone: the dynamic compression technique. International Journal of Periodontics and Restorative Dentistry<\/em> 33<\/strong>: 447 - 455.","endnote":"OWN - ITI International Team for Implantology\r\n CI - ITI International Team for Implantology\r\n JT - Forum Implantologicum\r\n DP - 2016\r\n LA - en\r\n TI - Prosthetically Driven Techniques to Compensate Peri-Implant Soft Tissue Deficiencies\r\nOWN - ITI International Team for Implantology\r\n AU - Belser U.\r\n AU - Gallucci G.\r\n AU - Afrashtehfar K.\r\n AU - Buser D.\r\nAID - 10.3290\/iti.fi.45684[doi]\r\n AB - Abstract"},"_links":{"self":[{"href":"https:\/\/forum-impl.iti.org\/en\/wp-json\/wp\/v2\/article\/849","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/forum-impl.iti.org\/en\/wp-json\/wp\/v2\/article"}],"about":[{"href":"https:\/\/forum-impl.iti.org\/en\/wp-json\/wp\/v2\/types\/article"}],"version-history":[{"count":4,"href":"https:\/\/forum-impl.iti.org\/en\/wp-json\/wp\/v2\/article\/849\/revisions"}],"predecessor-version":[{"id":1769,"href":"https:\/\/forum-impl.iti.org\/en\/wp-json\/wp\/v2\/article\/849\/revisions\/1769"}],"acf:post":[{"embeddable":true,"href":"https:\/\/forum-impl.iti.org\/en\/wp-json\/wp\/v2\/forum-author\/980"},{"embeddable":true,"href":"https:\/\/forum-impl.iti.org\/en\/wp-json\/wp\/v2\/forum-author\/1186"},{"embeddable":true,"href":"https:\/\/forum-impl.iti.org\/en\/wp-json\/wp\/v2\/forum-author\/1062"},{"embeddable":true,"href":"https:\/\/forum-impl.iti.org\/en\/wp-json\/wp\/v2\/forum-author\/1118"},{"embeddable":true,"href":"https:\/\/forum-impl.iti.org\/en\/wp-json\/wp\/v2\/feature-topic\/1458"}],"wp:attachment":[{"href":"https:\/\/forum-impl.iti.org\/en\/wp-json\/wp\/v2\/media?parent=849"}],"wp:term":[{"taxonomy":"article-type","embeddable":true,"href":"https:\/\/forum-impl.iti.org\/en\/wp-json\/wp\/v2\/article-type?post=849"},{"taxonomy":"forum-tag","embeddable":true,"href":"https:\/\/forum-impl.iti.org\/en\/wp-json\/wp\/v2\/forum-tag?post=849"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}