Dan Zagnat, Larisa Clipa, Agop-Forna Doriana
ABSTRACT
Dental implants represent a predictable treatment option for replacing missing teeth. However, implant-supported restorations in the aesthetic zone remain clinically demanding because success depends on the integration of biological, functional, and patient-centred parameters. This narrative review systematises current evidence and clinical trends regarding the main prosthodontic considerations involved in aesthetic-zone implant rehabilitation. Particular attention is given to restoration-driven implant placement, timing of insertion, three-dimensional positioning, management of single and multiple edentulous spaces, abutment and retention selection, occlusal factors, provisional soft-tissue conditioning, and aesthetic assessment. The available evidence supports an interdisciplinary, prosthodontically driven approach in which the definitive restoration guides surgical and restorative decision-making. Predictable outcomes depend not only on implant survival, but on peri-implant tissue stability, emergence profile control, functional loading, maintainability, and patient-reported satisfaction.
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