Analog emergence profile conditioning after simultaneous hard- and soft-tissue augmentation: A 5-year clinical report

A biologically guided, time-efficient analog workflow for anterior implant rehabilitation is presented. Two implants were placed in a horizontally deficient anterior maxilla with simultaneous guided bone regeneration and a de-epithelialized connective tissue graft to restore ridge contour and increase mucosal thickness. After healing, the transmucosal contour was shaped extraorally on a silicone index and transferred intraorally using custom interim restorations with controlled soft-tissue refinement. The emergence profile was captured with a custom impression coping, and multilayer zirconia crowns were cemented extraorally to titanium-base abutments and then screw retained. At 5 years, stable marginal bone levels, healthy peri-implant mucosa, preserved papillae, and harmonious esthetic integration were maintained. This report presents a straightforward, reproducible protocol for achieving a stable peri-implant phenotype.