Diagnosing and Treatment Planning Biologically Contoured Implant Restorations

A restoration that provides optimal support to the peri-implant mucosal tissues and prevents them from injury is termed a biologically contoured restoration. The various factors that should be taken into consideration while treatment planning biologically contoured implant restorations include the following:

1. Assessment of the hard and soft tissues

2. Determination of peri-implant mucosal phenotype

3. Assessment of the form of adjacent teeth

4. Assessment of the restorative space

5. 3D and restoratively driven implant planning

6. Establishing the implant surgical positioning that is prosthetically and biologically optimal. Interdisciplinary communication between restorative, surgical, and laboratory teams is critical to a well-planned implant position especially when implant placement and restoration are not going to be performed by the same practitioner.

7. Placement of a well-contoured provisional restoration or custom healing abutment