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Featured Article

The success of an esthetic implant is a combination of the surgical foundation, bone, and soft tissue health, and the subsequent restorative process composed of component selection, design, and implementation. Abutment design is an often-overlooked critical aspect of esthetic dental implant success. Dr Stephen J. Chu and at el present “Restorative Emergence Profile for Single-Tooth Implants in Healthy Periodontal Patients: Clinical Guidelines and Decision-Making Strategies,” which discusses how the proper restorative emergence profile design is essential to facilitate favorable esthetic outcomes and maintain peri-implant health. The aim of this article is to review the currently available evidence related to the design of subgingival (critical and subcritical) and supragingival contours of the implant restorative emergence profile (IREP) as well as provide a flowchart for decision-making in clinical practice. Abutment design is dependent on the three-dimensional spatial position of the implant relative to the hard and soft tissue complex, in additionto the location of the definitive restoration. Frequently, a convex critical contour is required on the facial aspect of a palatally or incisally positioned implant to support an adequate gingival-margin architecture. Conversely, if the implant is placed too far facially, then a flat or concave contour is recommended. In instances where soft tissue support is not needed, the subcritical area may be under-contoured to increase the thickness, height, and stability of the soft tissue cuff.

What's New

• Editorial: 2019 Clinical Research in Periodontology Award

  
  

• The Papilla Access Tunnel Technique for the Treatment of Shallow Recession and Thin Tissue in the Mandibular Anterior Region

  Edward P. Allen, DDS, PhD
  
  

• Histologic Evaluation of rhBMP-2 in an Extraction Site Model in the Esthetic Zone: A Series of 16 Cases Preparing for Implant Placement

  E. Todd Scheyer, DDS, MS/ David I. Lipton, DDS, MS/ Michael K. McGuire, DDS/ Blaine G. Calahan, DDS, MS/ Randy S. Demetter, DDS, MS/ Brian L. Mealey, DDS, MS
  
  

• The Fence Technique: 100% Autogenous Bone Graft vs 50% Deproteinized Bovine Bone Matrix and 50% Autogenous Bone Graft. A Histologic Randomized Controlled Trial

  Mauro Merli, MD, DDS/ Giorgia Mariotti, DDS/ Umberto Pagliaro, MD, DDS/ Annalisa Mazzoni, DDS, PhD/ Marco Moscatelli/ Michele Nieri, DDS
  
  

• Inflamed Odontogenic Cyst with Actinomyces Colonization: Management of an Atypical Case in a 16-Year-Old Patient

  Ahmad Soolari, DMD, MS/ Amin Soolari, BS, CRT/ Christopher Fielding, DDS
  
  

• CAD/CAM Implant Abutments: Peri-implant Hard and Soft Tissue Response with Up to 4 Years of Follow-up— A Retrospective Cohort Study Evaluation

  Andrea Parpaiola, MD, DDS/ Marco Toia, DDS/ Michael Norton, BDS, FDS, RCS(Ed)/ Denis Cecchinato, MD, DDS/ Eriberto Bressan, DDS, PhD/ Diego Lops, DDS, PhD
  
  

• Human Clinical and Histologic Evaluations of Laser-Assisted Periodontal Therapy with a 9.3-μm CO₂ Laser System

  Myron Nevins, DDS/ Marc L. Nevins, DMD, MMSc/ Stefano Parma-Benfenati, DDS/ Marisa Roncati Benfenati, DDS/ Peter Schupbach, PhD/ Chia-Yu Chen, DDS, DMSc/ Cosmin Sava, DDS/ Catalin Sava, DDS/ Mihaela Trifan, MD/ David M. Kim, DDS, DMSc
  
  

• Treatment of Multiple Mandibular Gingival Recession Defects Using MCAT Technique and SCTG With and Without rhPDGF-BB: A Randomized Controlled Clinical Trial

  Shagufta Parween, MDS/ Joann Pauline George, MDS/ M.L.V. Prabhuji, MDS
  
  

• Peri-implant Papillae Reconstruction at an Esthetically Failing Implant

  Martina Stefanini, DDS, PhD/ Matteo Marzadori, DDS/ Lorenzo Tavelli, DDS/ Pietro Bellone, DDS/ Giovanni Zucchelli, DDS, PhD
  
  

• Tunnel Technique with a Subperiosteal Bag for Horizontal Ridge Augmentation

  Benny Karmon, DMD/ Lorenzo Tavelli, DDS/ Giulio Rasperini, DDS
  
  

• Autologous Platelet Concentrates as Clinical Substitutes for Connective Tissue Graft in the Treatment of Miller Class I and II Gingival Recessions: An Updated Meta-Analysis

  Peng Ye, DDS/ Tai Wei, PhD/ Yun Wang, MD/ Ye-Jun Cai, MD
  
  

• Evaluation of the Effect of Hyaluronic Acid Application on the Vascularization of Free Gingival Graft for Both Donor and Recipient Sites with Laser Doppler Flowmetry: A Randomized, Examiner-Blinded, Controlled Clinical Trial

  Zeynep Turgut Çankaya, DDS, PhD/ Sühan Gürbüz, DDS, PhD/ Batuhan Bakirarar, PhD/ Bülent Kurtiş, DDS, PhD
  
  

• Fracture Strength of Implant Screw-Retained All-Ceramic Crowns with the Use of the Angulated Screw Channel: A Pilot Study

  Alexander Drew, DMD, MS/ Anthony Randi, DDS/ Louis DiPede, DMD/ Allyn Luke, BA, BSCE, MSCE
  
  

• Association Between Canine Impaction and Skeletal Pattern in the Sagittal and Vertical Planes

  Hana Omar Al Balbeesi, MSc/ Huda Mohammed Al Kawari, MSc/ Ahoud Saad Al Tamimi, ABO/ Ibtisam Al Mubarak, MSc/ Khulood I. Al Ibrahim, ABO/ Darshan Devang Divakar, MDS, PhD
  
  

• The Eye-Tracking Study of the Impact of the Gingival Margin Height of Maxillary Lateral Incisors

  Caio Seiti Miyoshi, DDS/ Rodrigo Nunes Rached, DDS, MSc, PhD/ Thiago Martins Meira, DDS, MSc/ Ahmad Allahham, DDS/ Armando Yukio Saga, DDS, PhD/ Orlando Motohiro Tanaka, DDS, MSc, PhD
  
  

• The Effect of Different Combinations of Surface Treatments and Bonding Agents on the Shear Bond Strength Between Titanium Alloy and Lithium Disilicate Glass-Ceramic

  Afaf Alkhadashi, DDS/ Melahat Çelik Güven, DDS, PhD/ Funda Erol, DDS, PhD/ Gülhan Yıldırım, DDS, PhD
  
  

• Detection Accuracy of Bone Defects Depending on Exposure Settings of Cone Beam Computed Tomography

  Spyridon I. Vassilopoulos, DDS, MS, DrDent/ Yiorgos A. Bobetsis, DDS, PhD/ Michalis Mastoris, DDS, MS/ Eudoxie Pepelassi, DDS, MS, DrDent/ Keti Nikopoulou-Karagianni, DDS, MS, DrDent
  
  

• Osseointegration Foundation Charity Overdenture Program Study

  Myron Nevins, DDS/ Emil Capetta, DMD/ Charlie Horning, DDS/ Eric Kerr, DDS/ David M. Kim, DDS, DMSc/ Keith Kirshner/ John C. Machell, DMD, MAGD/ Edward Marcus, DDS/ Georgios Romanos, DDS, DMD, PhD/ Scott Silverstein, DDS, MS/ Gabriel Strauss, DMD/ Hom-Lay Wang, DDS, MDS, PhD/ Mollie Winston, DDS
  
  

• The Effect of Platform-Switching Implants and Different Abutment Materials on the Stress Distribution of Implant-Supported Restorations

  Aya A. Salama, MS/ Hesham A. Katamesh, MS, PhD/ Omaima El Mahallawi, MS, PhD/ Carl H. Halim, MS, PhD
  
  

• Flowable and Regular Bulk-Fill Composites: A Comprehensive Report on Restorative Treatment

  Maicon Sebold, DDS, MSc/ Rodrigo Barros Esteves Lins, DDS, MSc, PhD/ Carolina Bosso André, DDS, MSc, PhD/ Luís Roberto Marcondes Martins, DDS, MSc, PhD/ Marcelo Giannini, DDS, MSc, PhD
  
  

• Efficiency of Concentrated Growth Factor in the Surgical Treatment of Multiple Adjacent Papillary Losses: A Randomized, Controlled, Examiner-Blinded Clinical Trial Using CAD/CAM

  Zeynep Turgut Çankaya, DDS, PhD/ Berrin Ünsal, DDS, PhD/ Sühan Gürbüz, DDS, PhD/ Batuhan Bakirarar, PhD/ Evşen Tamam, DDS, PhD