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Volume 33 , Issue 1
January/February 2013
Pages 81–87

Surgical Management of Peri-implant Soft Tissue Color Mismatch Caused by Shine-Through Effects of Restorative Materials: One-Year Follow-up

Arndt Happe, DDS, Dr Med Dent1 Michael Stimmelmayr, DDS, Dr Med Dent2 Markus Schlee, DMD, Dr Med Dent3 Daniel Rothamel, MD, DDS, PhD, Dr Med, Dr Med Dent4

DOI: 10.11607/prd.1344

Thin facial soft tissue may lead to visible soft tissue discoloration around implants and therefore to esthetic deficiencies. The aim of this article is to present a surgical approach to peri-implant soft tissue discoloration caused by the shine-through effects of restorative materials in the anterior maxilla. A clinical case is used to illustrate the approach. A minimally invasive tunneling approach and connective tissue graft are used. The optical outcome is documented in an objective and standardized manner using a spectrophotometer after a follow-up of 12 months. The presented technique clearly improved the clinical condition and esthetic outcome. Spectrophotometric follow-up revealed a soft tissue color difference between the implant and adjacent tooth (control) that was clearly less than initially presented. In the area 3 mm apical to the soft tissue margin, this difference was beneath the clinically perceptible threshold of 3.7. (Int J Periodontics Restorative Dent 2013;33:81–87. doi: 10.11607/prd.1344)

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