A influência da modulação tecidual peri-implantar na reabilitação unitária implantossuportada em área estética: relato de caso.

Abstract

Esthetic oral rehabilitation, particularly in patients with anterior tooth loss, plays a crucial role in self-esteem and social interaction. With technological advancements in dentistry—such as intraoral scanning, 3D printing, and CAD/CAM systems, it has become possible to plan and perform treatments with greater precision and predictability. In the context of implant dentistry, the integration between soft tissues and the implant is essential to achieve an esthetically satisfactory gingival profile. This study reports, through a clinical case, the technique of guided soft-tissue conditioning using temporary crowns over dental implants in the anterior maxillary region, aiming to optimize the gingival profile and esthetic harmony. The patient, O.F.G., 57 years old, healthy, presented an esthetic complaint of disproportionate anterior teeth and gingival asymmetry. After clinical evaluation and digital measurements, discrepancies between incisors and gingival zeniths were identified. Treatment included selective gingivoplasty, replacement of prosthetic abutments, and soft-tissue conditioning with provisional crowns, followed by definitive rehabilitation. The outcome demonstrated significant esthetic improvement, gingival harmony, and high patient satisfaction.