Tissue-level implants in the aesthetic zone: why and how?

Ethan Ng, Onur Etöz, Milda Vitosyte, Michael Myint, Shakeel Shahdad, Mital Patel

Abstract read

In one paragraph

Article in British dental journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ethan NgCentre for Oral Clinical Research, Institute of Dentistry, Faculty of Medicine and Dentistry, Queen Mary University of London, London, UK; Department of Restorative Dentistry, National Dental Centre Singapore, Singapore.

Onur EtözDepartment of Prosthodontics, Faculty of Dentistry, Mersin University, Mersin, Turkey; Barts and the London School of Medicine and Dentistry, Institute of Dentistry, Queen Mary University of London, London, UK.

Milda VitosyteBarts and the London School of Medicine and Dentistry, Institute of Dentistry, Queen Mary University of London, London, UK; Institute of Odontology, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.

Michael MyintBarts and the London School of Medicine and Dentistry, Institute of Dentistry, Queen Mary University of London, London, UK.

Shakeel ShahdadBarts and the London School of Medicine and Dentistry, Institute of Dentistry, Queen Mary University of London, London, UK; Department of Restorative Dentistry, The Royal London Dental Hospital, Barts Health NHS Trust, London, UK.

Mital PatelBarts and the London School of Medicine and Dentistry, Institute of Dentistry, Queen Mary University of London, London, UK; Department of Restorative Dentistry, The Royal London Dental Hospital, Barts Health NHS Trust, London, UK. mitalpatel@nhs.net.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tissue-level (TL) implants, originally developed to eliminate the need for a second surgical procedure, are increasingly being used in the aesthetic zone due to their unique design advantages. The vertical platform shift positions the implant-abutment junction coronally, minimising marginal bone loss and optimising the crown-to-implant ratio. The machined, divergent collar may support space maintenance during guided bone regeneration and the buccal soft tissue contour. Additionally, favourable pre-determined emergence angles may be helpful in reducing mechanical and biological complications while enhancing implant-abutment stability. Achieving predictable outcomes requires meticulous prosthetically driven 3D planning, integrated digital workflows, precise surgical execution, and careful handling during the prosthetic phase. This manuscript presents the rationale for using TL implants in the aesthetic zone and offers practical guidance to achieve successful outcomes in clinical practice.

Indexed as

Dental Implantation, EndosseousDental ImplantsDental Prosthesis DesignEsthetics, DentalDental Prosthesis, Implant-SupportedHumansDental Implants

Identifiers

PMID42855566

DOI10.1038/s41415-026-0084-y

PMCPMC13652728

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.