Tissue-level implants
in restorative

Tissue-level implants in restorative dentistry are lauded for their enhanced clinical predictability and patient comfort. Their design, promoting soft tissue stability, minimizes complications like peri-implantitis. This technology allows for simpler, more reliable implant procedures, catering to diverse anatomical needs and improving aesthetic outcomes.

Understanding and maintaining the natural biologic width around dental implants is crucial. Biologic width refers to the necessary space for healthy attachment of soft and hard tissues around an implant [1]. Tissue-level implants are designed to respect and maintain this biologic width, promoting a stable and healthy interface with the surrounding tissues. This harmonious relationship benefits the overall outcome by reducing the risk of peri-implant diseases and enhancing aesthetic and functional results of the implants.The long-term effectiveness of dental implants is significantly influenced by the interaction between soft tissues and the implant [2].

Various factors play a role in determining the biological width around implants, including the methods used in surgery, the timing and method of implant loading, the characteristics of the implant’s surface, the types of materials used for the abutment, the placement of the implant, and the thickness of the surrounding mucosal tissues.This concept relates to the space required for healthy attachment of soft and hard tissues around the implant. Proper management of biologic width ensures long-term implant success and prevents peri-implant diseases [3].

Tissue-level implants are noted for their role in ensuring predictable, aesthetic restorative outcomes. They facilitate soft tissue management, crucial in achieving natural-looking results, and offer a more streamlined approach to implant dentistry.

The implantation procedures of tissue level implants are highlighted by their straightforward, minimally invasive procedures. This simplicity accelerates the healing process, reduces patient discomfort, and improves overall treatment efficiency, making it a preferred choice in many dental practices [4].

The key to success with tissue level implants lies in meticulous planning and execution. Proper implant positioning, coupled with effective soft tissue management, is essential for achieving long-term success and patient satisfaction in dental restorations.

Tissue level implants will have a transformative impact in restorative dentistry, particularly in enhancing clinical outcomes and patient experiences and comfort. Their adaptability and ease of use mark a significant advancement in dental implantology.


  1.  Zheng, Z.; Ao, X.; Xie, P.; Jiang, F.; Chen, W. The biological width around implant. Journal of prosthodontic research 2021, 65, 11-18
  2. Rezaei Esfahrood, Z.; Kadkhodazadeh, M.; Gholamin, P.; Amid, R.; Passanezi, E.; Hosein Zadeh, H. Biologic width around dental implants: An updated review. Journal of Dental Materials and Techniques 2016, 5, 68-81.
  3. Thoma, D.S.; Mühlemann, S.; Jung, R.E. Critical soft‐tissue dimensions with dental implants and treatment concepts. Periodontology 2000 2014, 66, 106-118.
  4. Afrashtehfar, K.I.; Brägger, U.; Hicklin, S.P. Reliability of interproximal bone height measurements in bone-and tissue-level implants: A methodological study for improved calibration purposes. Int J Oral Maxillofac Implants 2020, 35, 289-296.