Peri-implant Soft Tissue Conditioning with Provisional Restorations in the Esthetic Zone: The Dynamic Compression Technique

Julia-Gabriela Wittneben, DMD, Dr Med Dent, MMSc/Daniel Buser, DMD, Dr Med Dent/Urs C. Belser, DMD, Dr Med Dent/Urs Brägger, DMD, Dr Med Dent: An optimal esthetic implant restoration is a combination of a visually pleasing prosthesis and surrounding peri-implant soft tissue architecture. This article introduces a clinical method, the dynamic compression technique, of conditioning soft tissues around bone-level implants with provisional restorations in the esthetic zone. The technique has several goals: to establish an adequate emergence profile; to recreate a balanced mucosa course and level in harmony with the gingiva of the adjacent teeth, including papilla height/width, localization of the mucosal zenith and the tissue profile’s triangular shape; as well as to establish an accurate proximal contact area with the adjacent tooth/implant crown. (Int J Periodontics Restorative Dent 2013;33:447–455. doi: 10.11607/prd.1268)