ArticleJournal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.]2026
Peri-Implant Supracrestal Resiliency (PSR): A Geometric Determinant Guiding Emergence Profile Execution.
Article in Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.], 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveTo introduce peri-implant supracrestal resiliency (PSR) as a geometrically grounded determinant that informs strategic emergence profile engineering in implant-supported restorations. CLINICAL CONSIDERATIONS: Emergence profile development plays a pivotal role in peri-implant stability and esthetic success; however, conventional tissue-conditioning protocols often require additional provisional stages, custom components, or extended treatment sequences that may not be practical in academic, referral-based, or multidisciplinary settings. PSR is proposed as a dynamic descriptor of the capacity of supracrestal tissues to tolerate prosthetic contour displacement in response to restorative demands. Rather than prescribing specific techniques, PSR provides interpretive guidance to determine whether prosthetic modification of the emergence profile can be performed within existing workflows or whether adjunctive tissue modulation is warranted. CLINICAL SIGNIFICANCE: Recognition of supracrestal tissue resiliency supports geometrically driven and clinically pragmatic restorative strategies that balance esthetic intent with tissue tolerance and real-world clinical constraints.
conclusionsPSR reconceptualizes the emergence profile acquisitions from a uniformly assumed objective to a geometry-driven, context-dependent decision guided by tissue behavior.
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