Predictability in anterior aesthetic implants: assessment, planning and execution

Abstract

Implant placement in the anterior maxilla has been shown to have success rates comparable to posteriorly placed implants. However, the aesthetic outcome of these implants is, unsurprisingly, of much greater importance to patients, and can provide a significant clinical challenge. Predictable outcomes are undoubtedly harder to achieve and sustain, and greater consideration must be given to the precision of implant positioning and restoration in order to achieve clinical and aesthetic success. This article discusses the many factors affecting aesthetic implant predictability, from assessment and planning, through to materials, execution and restoration, with a focus on timings and early (Type II) placement. CPD/Clinical Relevance: For the majority of clinicians, Type II methodology for anterior implants is the more appropriate choice and gives predictable and stable outcomes.