Dentoalveolar morphology: evaluation of natural root form versus cylindrical implant fixtures

The function of implant-supported restorations is now routinely achieved. As a result, the emphasis in restorative implant dentistry has shifted from function to aesthetics and the biocompatibility of the materials utilized. The learning objective of this article is to review the three major components essential to achieving natural aesthetics in implant-supported restorations--hard tissue dynamics, soft tissue dynamics, and dental aesthetics. Particular emphasis is directed to the dentoalveolar anatomy and morphology. Analysis of the tooth root morphology and dimensions has resulted in the design and fabrication of restorative components with dimensions that closely resemble the natural tooth anatomy and aesthetics. A system of transmucosal abutments has been designed, and its utilization is presented in this review.