Arvinte Andreea-Raluca, Agop-Forna Doriana, Maria-Alexandra Beanu
ABSTRACT
Background: Contemporary esthetic rehabilitation in fixed prosthodontics and implant dentistry has undergone significant development due to advances in ceramic materials, adhesive techniques, implant therapy, and digital technologies. Modern patients increasingly demand restorations that combine optimal esthetics, functional stability, biological integration, and minimally invasive treatment approaches. As a result, esthetic rehabilitation has become a multidisciplinary process requiring careful integration of prosthetic, periodontal, surgical, and digital principles. Objective: The aim of this narrative review is to summarize current concepts and contemporary approaches in esthetic rehabilitation within fixed prosthodontics and implant dentistry, with emphasis on restorative materials, minimally invasive therapies, implant esthetics, and digital workflows. Methods: A narrative review of the literature was conducted using recent scientific publications, systematic reviews, clinical studies, and consensus reports retrieved from major medical and dental databases. Priority was given to contemporary evidence regarding ceramic materials, veneers, implant-supported restorations, peri-implant soft tissue management, CAD/CAM technologies, and digital treatment planning. Results: Current evidence demonstrates that successful esthetic rehabilitation depends on the harmonious integration of facial, dental, periodontal, and functional parameters. Lithium disilicate ceramics, high-translucency zirconia, and adhesive restorative techniques have significantly improved esthetic and mechanical outcomes in fixed prosthodontics. In implant dentistry, implant positioning, emergence profile, and peri-implant soft tissue stability represent essential determinants of esthetic success. Furthermore, digital technologies such as intraoral scanning, Digital Smile Design (DSD), guided implant surgery, and CAD/CAM systems have improved treatment predictability, precision, and interdisciplinary communication. Conclusions: Contemporary esthetic rehabilitation requires a comprehensive and individualized approach that combines minimally invasive principles, advanced restorative materials, and digital technologies. Future developments in artificial intelligence, biomimetic materials, and regenerative therapies may further enhance esthetic predictability, long-term stability, and patient satisfaction in fixed prosthodontics and implant dentistry.
Loading...
Reload document 
Open in new tab