Advances in Prosthetic-guided Peri-implant Soft Tissue Shaping and Transfer Modalities

doi:10.13701/j.cnki.kqyxyj.2025.02.002

Abstract

Abstract: Peri-implant soft tissue shaping can be considered as an effective solution for improving the morphology of peri-implant soft tissues. This technique can help achieve ideal implant aesthetic restorations by guiding the soft tissues to form a shape and contour similar to that of the surrounding natural teeth, based on the soft tissue specifics of the implant site. In this article, the modification and attachment of peri-implant soft tissues in the process of implant restoration, the commonly used prosthetic guided soft tissue shaping methods, and the transfer methods after shaping are reviewed.

Key words: oral implantology, peri-implant soft tissue, esthetic, soft tissue shaping

WANG Yuanfan, SUN Xiaojun. Advances in Prosthetic-guided Peri-implant Soft Tissue Shaping and Transfer Modalities[J]. Journal of Oral Science Research, 2025, 41(2): 90-95.

References

[1] Kumar M, Sah RP, Kumari R, et al. Aesthetic outcome and patient perception of immediate vs. delayed loading of implant-supported single crowns: A randomized controlled trial [J]. J Pharm Bioallied Sci, 2024, 16(Suppl 1): S446-S448.
[2] Liu Z, Li C, Liu Y, et al. The clinical significance and application of the peri-implant phenotype in dental implant surgery: a narrative review [J]. Ann Transl Med, 2023, 11(10): 351.
[3] González-Martín O, Lee E, Weisgold A, et al. Contour management of implant restorations for optimal emergence profiles: Guidelines for immediate and delayed provisional restorations [J]. Int J Periodontics Restorative Dent, 2020, 40(1): 61-70.
[4] Avila-Ortiz G, Gonzalez-Martin O, Couso-Queiruga E, et al. The peri-implant phenotype [J]. J Periodontol, 2020, 91(3): 283-288.
[5] Ramanauskaite A, Schwarz F, Sader R. Influence of width of keratinized tissue on the prevalence of peri-implant diseases: A systematic review and meta-analysis [J]. Clin Oral Implants Res, 2022, 33 Suppl 23: 8-31.
[6] Sukekava F, Pannuti CM, Lima LA, et al. Dynamics of soft tissue healing at implants and teeth: a study in a dog model [J]. Clin Oral Implants Res, 2016, 27(5): 545-552.
[7] Moon IS, Berglundh T, Abrahamsson I, et al. The barrier between the keratinized mucosa and the dental implant. An experimental study in the dog [J]. J Clin Periodontol, 1999, 26(10): 658-663.
[8] Lysov A, Saadoun AP. Periodontal, functional, and esthetic integration of peri-implant soft tissue: WHS concept [J]. J Oral Implantol, 2022, 48(1): S1-S8.
[9] Tang K, Luo ML, Zhou W, et al. The integration of peri-implant soft tissues around zirconia abutments: Challenges and strategies [J]. Bioact Mater, 2023, 27: 348-361.
[10] Koppolu P, Al Arabi AA, Al Khayri MJ, et al. Correlation between gingival thickness and occurrence of gingival recession [J]. J Pharm Bioallied Sci, 2023, 15(Suppl 1): S495-S501.
[11] Pitman J, Seyssens L, Christiaens V, et al. Immediate implant placement with or without immediate provisionalization: A systematic review and meta-analysis [J]. J Clin Periodontol, 2022, 49(10): 1012-1023.
[12] Kan JY, Rungcharassaeng K. Immediate placement and provisionalization of maxillary anterior single implants: a surgical and prosthodontic rationale [J]. Pract Periodontics Aesthet Dent, 2000, 12(9): 817-824.
[13] Mulinari-Santos G, Scannavino FLF, De Avila ED, et al. One-stage approach to rehabilitate a hopeless tooth in the maxilla by means of immediate dentoalveolar restoration: Surgical and prosthetic considerations [J]. Case Rep Dent, 2024, 2024: 5862595.
[14] Koutouzis T, Adeinat B, Ali A. The influence of abutment macro-design on clinical and radiographic peri-implant tissue changes for guided, placed, and restored implants: A 1-year randomized controlled trial [J]. Clin Oral Implants Res, 2019, 30(9): 882-891.
[15] Fu Y, Yin C, Li S, et al. A full digital workflow to prefabricate an implant-supported interim restoration: case report and a novel technique [J]. Int J Implant Dent, 2022, 8(1): 55.
[16] Deliberador TM, Begnini GJ, Tomazinho F, et al. Immediate implant placement and provisionalization using the patient's extracted crown: 12-month follow-up [J]. Compend Contin Educ Dent, 2018, 39(3): e18-e21.
[17] 刘艳,朱靖恺,胡文军,等.自体牙冠在前牙即刻种植修复中的应用[J].实用口腔医学杂志,2020,36(2):340-345.
[18] Tzimas K, Rahiotis C, Pappa E. Biofilm formation on hybrid, resin-based CAD/CAM materials for indirect restorations: A comprehensive review [J]. Materials (Basel), 2024, 17(7):1474.
[19] Pietrokovski Y, Zeituni D, Schwartz A, et al. Comparison of different finishing and polishing systems on surface roughness and bacterial adhesion of resin composite [J]. Materials (Basel), 2022, 15(21):7415.
[20] Wittneben JG, Buser D, Belser UC, et al. Peri-implant soft tissue conditioning with provisional restorations in the esthetic zone: the dynamic compression technique [J]. Int J Periodontics Restorative Dent, 2013, 33(4): 447-455.
[21] Furze D, Byrne A, Alam S, et al. Influence of the fixed implant-supported provisional phase on the esthetic final outcome of implant-supported crowns: 3-year results of a randomized controlled clinical trial [J]. Clin Implant Dent Relat Res, 2019, 21(4): 649-655.
[22] Sutariya PV, Mehta SP, Upadhyay HH, et al. The soft tissue esthetic outcome with and without immediate provisionalization in immediate implants: A systematic review and meta-analysis [J]. J Indian Prosthodont Soc, 2022, 22(1): 2-12.
[23] Rotundo R, Pancrazi GL, Grassi A, et al. Soft tissue substitutes in periodontal and peri-implant soft tissue augmentation: A systematic review [J]. Materials (Basel), 2024, 17(5):1221.
[24] Lertwongpaisan T, Amornsettachai P, Panyayong W, et al. Soft tissue dimensional change using customized titanium healing abutment in immediate implant placement in posterior teeth [J]. BMC Oral Health, 2023, 23(1): 384.
[25] Chokaree P, Poovarodom P, Chaijareenont P, et al. Biomaterials and clinical applications of customized healing abutment-A narrative review [J]. J Funct Biomater, 2022, 13(4):291.
[26] Chokaree P, Poovarodom P, Chaijareenont P, et al. Effect of customized and prefabricated healing abutments on peri-implant soft tissue and bone in immediate implant sites: A randomized controlled trial [J]. J Clin Med, 2024, 13(3):886.
[27] Finelle G, Lee SJ. Guided immediate implant placement with wound closure by computer-aided design/computer-assisted manufacture sealing socket abutment: Case report [J]. Int J Oral Maxillofac Implants, 2017, 32(2): e63-e67.
[28] Enkling N, Marder M, Bayer S, et al. Soft tissue response to different abutment materials: A controlled and randomized human study using an experimental model [J]. Clin Oral Implants Res, 2022, 33(6): 667-679.
[29] Rexhepi I, Santilli M, D'addazio G, et al. Clinical applications and mechanical properties of CAD-CAM materials in restorative and prosthetic dentistry: A systematic review [J]. J Funct Biomater, 2023, 14(8):431.
[30] Song SJ, Tao G, Shariff J, et al. Evaluation of dimensional changes and ridge contour around ovate pontics inserted immediately after extraction with alveolar ridge preservation in the esthetic zone [J]. Int J Periodontics Restorative Dent, 2022, 42(1): 83-91.
[31] (意)丹尼尔·卡达罗波利,(意)保罗·卡森蒂尼.著.宿玉成,刘倩.译.牙种植治疗的软组织处理与红色美学[M].沈阳:辽宁科学技术出版社,2021,8:348-349.
[32] Man Y, Wu Q, Wang T, et al. Split pedicle roll envelope technique around implants and pontics: a prospective case series study [J]. Int J Oral Maxillofac Surg, 2015, 44(10): 1295-1301.
[33] Jurado CA, Fu CC, Guzman LG, et al. Soft tissue management on pontic and implant sites before implants insertion [J]. Cureus, 2022, 14(4): e24621.
[34] 刘晓强,谭建国.一步一步做好美学区种植修复软组织印模 [J].中华口腔医学杂志, 2021,56(6):608-612.
[35] Galibourg A, Dumoncel J, Cormary J, et al. Volume of unsupported peri-implant soft tissue over time: A cross-sectional observation study [J]. J Prosthet Dent, 2021, 125(6): 883-889.
[36] Elian N, Tabourian G, Jalbout ZN, et al. Accurate transfer of peri-implant soft tissue emergence profile from the provisional crown to the final prosthesis using an emergence profile cast [J]. J Esthet Restor Dent, 2007, 19(6): 306-314.
[37] Yiqing H, Yuting H, Wang J. A technique to record the gingival configuration of an interim implant-supported fixed partial denture [J]. J Prosthet Dent, 2018, 120(4): 495-497.
[38] Tsai BY. A method for obtaining peri-implant soft-tissue contours by using screw-retained provisional restorations as impression copings: a clinical report [J]. J Oral Implantol, 2011, 37(5): 605-609.
[39] Monaco C, Evangelisti E, Scotti R, et al. A fully digital approach to replicate peri-implant soft tissue contours and emergence profile in the esthetic zone [J]. Clin Oral Implants Res, 2016, 27(12): 1511-1514.
[40] Liu X, Liu J, Mao H, et al. A digital technique for replicating peri-implant soft tissue contours and the emergence profile [J]. J Prosthet Dent, 2017, 118(3): 264-267.
[41] Cao R, Zhang S, Li L, et al. Accuracy of intraoral scanning versus conventional impressions for partial edentulous patients with maxillary defects [J]. Sci Rep, 2023, 13(1): 16773.