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Restoration Driven Implant Placement, Key to Predictable Dental Implant Success: A Review.

Manu Rathee, Mohneesh Bhoria and Amit Kumar Tamrakar

The elusive dream of replacing missing teeth with artificial substitute has been part of dentistry for a thousand years. Since, the co-incidental finding of osseointegration, implant dentistry evolved with aim to achieve primary implant stability and improve bone-implant contact. However, critical determinants with potential to improve success rate falls on prosthetic as much as on surgical phase. During the past several decades, a plethora implants-abutment designs and materials have been introduced to facilitate better prosthetic rehabilitation under individual clinical situation which focuses to achieve an ideal esthetic and functions that it completely indistinguishable from natural teeth and stable over time. This „restorative drivenâ�?�? implant placement protocol provides long term synergy between implant-prosthesis unit and peri-implant hard & soft tissue. This paper propose a „Synergy Triadâ�?�? that facilitate hard and soft tissue enhancement around implant prosthesis and discusses the various concepts that modulate peri-implant tissue characteristics through appropriate abutment selection for individual clinical need.