The maxillary anterior single tooth implant aesthetic-health compromise

With implant function established as a predictable treatment modality, the emphasis during the last decade has shifted to aesthetic of the restoration, particularly in the maxillary anterior area, sometimes to the extent of compromise of hygiene in the cervical region. The author reviews the aesthetics-hygiene compromise, in the context of long-term maintenance and survival, and suggests a compromise in cervical aesthetics in "unaesthetic" areas and even in the maxillary anterior if the cervical region is not exposed with broad smile. The presentation is a reminder that aesthetics is not the only criteria for an implant crown. The aesthetic-health compromise must be considered and understood prior to the treatment so that the most appropriate treatment plan can be developed.