23rd American World Dentistry Congress

In recent years, clinician and dentist's esthetic demand in dentistry has increased rapidly, driven by an enhanced awareness of beauty and aesthetics. The ultimate goal in modern restorative dentistry is to achieve "white" and "pink" esthetics in esthetically important zones. "White esthetics" is the natural dentition or the restoration of dental hard tissues with suitable materials. "Pink esthetics" refers to the surrounding soft tissues, which includes the interdental papilla and gingiva that can enhance or diminish the esthetic result. Reconstruction of the lost interdental papilla is one of the most challenging and least predictable problems. Restoration and maintenance of these tissues with adequate surgical and prosthetic techniques are a real challenge in modern esthetic dentistry. Treatment of marginal tissue recession and esthetic defects around teeth and implants are some of the aesthetic problems associated with the interdental papilla that have to be corrected in today’s scenario. This case study describes a clinical case of gingival conditioning with provisional implant-supported prostheses to improve the aesthetics of the soft tissues adjacent to implants. Gradual

application of pressure to the tissues is an easy, nontraumatic technique for inducing the formation of papillae and reestablishing the

appropriate shape and contour of the gingival tissues, thereby improving esthetics and phonetics. Soft tissue which is surrounding to implant is reshaped by gradually adding composite material to the provisional implant-supported restoration. Patients were seen weekly and soft tissue was observed. The proposed treatment proved to be effective in remodeling the surrounding soft tissues, providing suitable contours, and restoring esthetics and function surrounding of the implant. At the end of treatment, interdental

papilla was created between natural tooth and implant