Abordagens previsíveis para preservação e formação de papilas em implantodontia

Abstract

The present study consists in a literature review about the aproaches of papilla preservation and formation in implantology, regarding predictable techniques to reach acceptable esthetic results in anterior oral rehabilitation. A number of studies, in order to standardize and predict esthetical outcomes, use two important criteria: Jemt papilla index (to measure papilla filling) and the Pink Esthetic Score (PES), which evaluates periimplantar soft tissue, by considering some variable analysis. Many factors influence papilla formation, such as tridimensional implant positioning, amount of bone, interproximal distance, periodontal biotype, careful surgical management and surgeons ability. Some techniques have been studied to set more predictable results, such as flapless surgery, immediate implants, orthodontic extrusion and second stage surgery techniques. These techniques allow for an improvement of the aesthetic result, although more research are needed in order to determine their predictability.