J Adv Prosthodont.  2009 Nov;1(3):140-144.

The level of buccal gingival margin around single and two adjacent implant restorations: a preliminary result

  • 1Department of Prosthodontics, Gangnam Severance Dental Hospital, College of Dentistry, Yonsei University, Seoul, Korea. sunjai@yuhs.ac


STATEMENT OF PROBLEM: Little information is available about the buccal gingival level of multiple implant restorations. PURPOSE: This study was aimed to evaluate the relationship between width and height of buccal soft tissue around single and 2 adjacent implant restorations. MATERIAL AND METHODS: Four implant restoration groups (first and second molars, single second molars, posterior single restorations between teeth, and anterior single restorations between teeth) were randomly chosen from one dental institute. Each group comprised of 6 patients. After 6 months of function, silicone impressions were taken and stone models were fabricated for each restoration group. The stone models were cut in bucco-lingual direction at the most apical point of buccal gingival margin. The height and width of buccal supra-implant soft tissue were measured. One way ANOVA and Tukey HSD post hoc tests were performed to analyze the data obtained (P < .05). RESULTS: The most unfavorable width-height ratio was noted for the group, which was comprised of the second molar in the multiple adjacent (first and second molar) implant-supported restorations. The group also resulted in the shorter height of buccal supra-implant mucosa rather than that of anterior single implant restorations between natural teeth. CONCLUSION: To achieve a favorable level of buccal gingival margin, greater thickness of buccal supra-implant mucosa is required for the implant restorations without a neighboring natural tooth compared to the implant restorations next to a natural tooth.


Implant esthetics; Buccal gingival level; Single implant; Multiple adjacent implants; Width-height ratio

MeSH Terms

Mucous Membrane


  • Fig. 1 Close view of implant/abutment junction. The diameter of implant/abutment junction is 1.3 mm narrower than that of implant. The diameter of abutment/restoration junction is 4.5 mm, which is 1.5 mm greater than that of implant/abutment junction resulting transmucosal abutment with inherent concave profile.

  • Fig. 2 Schematic drawing of cut area. The first line, which passes buccal (P1) and lingual platform (P2) of implant replica, was drawn. BM is the point, where the line passes the outer contour of buccal soft tissue. The width of buccal-supra implant soft tissue is the distance between BM and P1. A second line, which is perpendicular to the first line and passes the buccal gingival margin (BGM), was drawn and the distance from BGM to the first line is the height of buccal supra-implant soft tissue.

  • Fig. 3 (A) Implant restoration/abutment/replica assembly was inserted into PVS impression. (B) A stone model was fabricated with Type IV dental stone. (C) implant restoration and abutment were retrieved from the stone model. (D) Measurements of height and width of buccal supra-implant soft tissue by use of a digital image software.


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