Dental implant and aesthetics: a systematic review

• Autor(a) principal: Freitas, Ricardo Barbosa de
• Data de Publicação: 2023
• Outros Autores: Aredes, Gisele Delmaschio Amigo, Cicareli, Alvaro José, Idalgo, Fabio Alarcon, Kassis, Elias Naim
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: MedNEXT Journal of Medical and Health Sciences
• Texto Completo: https://mednext.zotarellifilhoscientificworks.com/index.php/mednext/article/view/304
• topic: Dental implant; Aesthetics

Introduction: Besides the aspects of oral physiological functions, visual appearance and aesthetics have been addressed as an important factors in this type of therapy. In restorative dentistry, a pleasant aesthetic has been described as a blending of natural dentition and prosthetic elements, in addition to the identification, adaptation, and correct conditioning of these elements with the marginal and peripheral tissues. Objective: The present study aimed to present the main factors supporting aesthetic excellence before and after the rehabilitation of former regions' use of dental implants. Methods: The systematic review rules of the PRISMA Platform were followed. The search was carried out from February to May 2023 in the Scopus, PubMed, Science Direct, Scielo, and Google Scholar databases, using articles from 1985 to 2022. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results and Conclusion: A total of 98 articles were found, 38 articles were evaluated in full and 31 were included and developed in this systematic review study. Considering the Cochrane tool for risk of bias, the overall assessment resulted in 10 studies with a high risk of bias and 30 studies that did not meet GRADE. It is important to know the biological structures of the soft and hard tissues around an osseointegrated dental implant (peri-implant referred to as peri-implant phenotype), in the context of peri-implant esthetic complications. Aesthetics has become a primary factor in the patient's expectations, and the duty of the surgeon's professional knowledge of the fundamental aspects in achieving this aspect of a correct treatment plan to meet the appropriate restorative and surgical protocols, thus being able to achieve satisfactory results is required. It notes that all efforts should be aimed at the final result.