A Clinically Oriented Digital Workflow for Replicating the Emergence Profile in Implant Restorations
Simplifying Emergence Profile Transfer in Implant Restorations: A Case Report on Direct Technique
23 juin 2025Améloblastome mandibulaire : de la découverte à la reconstruction– à propos d’un cas clinique
23 juin 2025Auteurs: ASMA BEN DALLA, HANEN BOUKHRIS, AMENI THABET, BOUTHAINA MAHJOUBI , NOUHA MGHIRBI, SIHEM HAJJEJI, HAYET HAJJEMI, SOUHA BEN YOUSSEF.
Abstract
Introduction: The peri-implant soft tissue contour plays a critical role in the long-term success of implant-supported restorations. Customized healing abutments or provisional prostheses are commonly used to shape this contour. After tissue maturation, it is essential to accurately transfer the emergence profile to the definitive prosthesis. Conventional techniques, such as the Modified Direct Transfer Coping Technique, aim to replicate the subgingival shape by customizing impression copings to match the provisional. However, these methods can be time-consuming and technique-sensitive. Recent advances in CAD/CAM have enabled digital alternatives, though some remain impractical due to the need for non-dental software and complex workflows.
Objective: This article introduces a streamlined, fully digital protocol using dental-specific software to record and transfer peri-implant soft tissue contours and emergence profiles from provisional to definitive prostheses.
Case Report: A healthy patient presented with traumatic loss of both maxillary central incisors. Following implant placement and provisionalization, three intraoral digital scans were obtained using the Medit i700 scanner. The scans were superimposed to accurately replicate the matured emergence profile in the final zirconia crowns.
Discussion: This technique provides a simplified and reproducible workflow for digitally capturing soft tissue contours without relying on reverse-engineering platforms. It enhances precision, efficiency, and patient comfort in implant prosthodontics.
Conclusion: The proposed digital approach offers a predictable and clinically applicable alternative to traditional methods for transferring the emergence profile. Further clinical studies are required to validate its long-term outcomes.
