Red-white esthetics in implant dentistry

Suvremeni implantoprotetski rad mora, osim funkcije, zadovoljavati i visoke estetske kriterije. Za postizanje optimalne crveno-bijele estetike važno je uspostaviti skladan odnos između alveolarne kosti, periimplantatne sluznice i fiksnoprotetskog nadomjestka. Detaljnim planiranjem i pravilnim trodimenzionalnim pozicioniranjem implantata nastoji se očuvati optimalna količina vestibularne kosti i izgled gingive (crvena estetika). Na cijeljenje periimplantatnih tkiva, a samim time i na crvenu estetiku, utječe i izbor implantata, odnosno njegov dizajn, izgled površine, gradivni materijal i spoj s nadogradnjom. Širok izbor nadogradnji omogućuje oblikovanje optimalnog izlaznog profila i postizanje zadovoljavajućih estetskih rezultata. Vrijeme implantacije i opterećenja implantata uvelike utječu na očuvanje tvrdih i mekih tkiva. Gubitak marginalne kosti dovodi do recesije mekih tkiva čime se narušava estetika implantoprotetskog rada. Korištenjem keramike za izradu implantatne nadogradnje i konačnog nadomjestka osigurava se postizanje optimalne bijele estetike.Contemporary implant dentistry must meet both high aesthetic criteria and long-term function. To achieve optimal red and white aesthetics it is important to establish a harmonious relationship between the alveolar bone, the periimplantal mucosa and the implant suprastructure. With detailed planning and correct three-dimensional positioning of implants, the optimal amount of vestibular bone and the appearance of gingiva (red aesthetics), aethetics can be preserved. The healing of periimplant tissue, that has a major role in gingival aesthetics, is also influenced by the choice of implant, its design,surface quality, building material and the connection with the abutment. The wide choice of upgrades allows you to design an optimal emergence profile and to achieve aesthetic results. The implantation time and the loading of implants greatly affect the preservation of hard and soft tissues. The loss of marginal bone leads to a recession of soft tissues, which disturbs the overall aesthetic outcome. By using ceramic materials in abutment selection and in the final restoration, it is possible to achieve optimal white aesthetics