Soft tissue recession around implants: is it still unavoidable?--Part II

Implant therapy is a predictable method of replacing lost teeth and involves consideration of numerous surgical and restorative criteria. Part I of this article explained the behavior of the hard and soft tissue around the implant and reviewed various parameters that influence tissue remodeling. Part II emphasizes surgical factors (eg, tridimensional implant placement, platelet-rich fibrin, and the use of connective tissue grafts) and restorative factors as means of limiting soft tissue recession around implants.

This article discusses tridimensional implant placement and the use of connective tissue grafting to complete the aesthetic restoration. Upon reading this article, the reader should: Become familiar with how platelet-rich fibrin enables the simple, effective, and predictable management of the gap between alveolar bone and an implant. Understand the benefits of connecting the final abutment at the surgical stage and leaving it undisturbed.