Tissue architecture modification for anterior implant esthetics: an interdisciplinary approach

Replacing multiple adjacent failing teeth with compromised osseous and gingival architecture with implants in the esthetic zone is often challenging and demanding for the clinician. Multiple procedures are usually required and entail a preservation technique, a re-creation approach, or a combination of both. This article describes an interdisciplinary approach (orthodontics, periodontics, and prosthodontics) for tissue architecture modification in multiple adjacent failing teeth with osseous and gingival tissue discrepancies in the esthetic zone. The rationale and limitations are also discussed.