The Use of a Pink Anodized Abutment in Patients with thin Gingival Phenotype: a Case Report

Authors

  • João Pedro Justino de Oliveira Limírio Departamento de Materiais Dentários e Prótese, Faculdade de Odontologia de Araçatuba, UNESP, Universidade Estadual Paulista, CEP 16015-050 Araçatuba-SP, Brasil. https://orcid.org/0000-0002-8620-8480
  • Maurício Veríssimo Pereira Departamento de Materiais Dentários e Prótese, Faculdade de Odontologia de Araçatuba, UNESP, Universidade Estadual Paulista, CEP 16015-050 Araçatuba-SP, Brasil https://orcid.org/0009-0005-2327-0905
  • Elisa Borges Taveira Departamento de Materiais Dentários e Prótese, Faculdade de Odontologia de Araçatuba, UNESP, Universidade Estadual Paulista, CEP 16015-050 Araçatuba-SP, Brasil https://orcid.org/0000-0003-1010-8077
  • Letícia Cabrera Capalbo Departamento de Materiais Dentários e Prótese, Faculdade de Odontologia de Araçatuba, UNESP, Universidade Estadual Paulista, CEP 16015-050 Araçatuba-SP, Brasil https://orcid.org/0000-0003-2775-9263
  • Rodrigo Capalbo da Silva Departamento de Materiais Dentários e Prótese, Faculdade de Odontologia de Araçatuba, UNESP, Universidade Estadual Paulista, CEP 16015-050 Araçatuba-SP, Brasil https://orcid.org/0000-0003-0245-0104
  • Eduardo Piza Pellizzer Professor Titular, Departamento de Materiais Dentários e Prótese, Faculdade de Odontologia de Araçatuba, UNESP, Universidade Estadual Paulista, 16015-050 Araçatuba-SP, Brasil https://orcid.org/0000-0003-0670-5004
  • Fellippo Ramos Verri Professor Associado, Departamento de Materiais Dentários e Prótese, Faculdade de Odontologia de Araçatuba, UNESP, Universidade Estadual Paulista, CEP 16015-050 Araçatuba-SP, Brasil https://orcid.org/0000-0001-5688-1669
  • Hiskell Francine Fernandes e Oliveira Bone Research Lab, Departamento de Biologia Oral, Faculdade de Odontologia de Ribeirão Preto, USP, Universidade de São Paulo, CEP 14040-904 Ribeirão Preto-SP, Brasil. https://orcid.org/0000-0002-2433-8167

DOI:

https://doi.org/10.21270/archi.v14i4.6589

Keywords:

Thin Gingival Phenotype, Anodized Abutment, Peri-Implant Aesthetic

Abstract

Dental implants are often used in the oral rehabilitation of total or partial edentulous patients. Patients with an evident high smile line and a thin gingival phenotype represent significant aesthetic challenges. The reason is that the material of the underlying prosthetic component may show through the peri-implant mucosa, causing the region to appear grayish and compromising the naturalness and harmony of the treatment. The aim of this article is to report a clinical case in which a pink anodized abutment was used in a patient with a thin gingival phenotype, in order to mask the gingival darkening and improve the clinical outcome. The clinical outcomes suggest an immediate aesthetic improvement after the installation of the modified abutment. Bearing that in mind, we can infer that this may be a viable approach for future rehabilitations, although further studies are still needed.

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References

1. Carvalho NB, Gonçalves SLMB, Guerra CMF, Carreiro AFP. Planejamento em Implantodontia: uma visão contemporânea. Braz J Oral Maxillofac Sugery. 2006;6(4):1722.

2. Amorim AV do, Comunian CR, Neto MDF, Cruz EF da. Implantodontia: Histórico, evolução e atualidades / Implantology: History, Evolution and News. ID Line Rev Psicol. 2019;13(45):36-48.

3. Jung RE, Zembic A, Pjetursson BE, Zwahlen M, Thoma DS. Systematic review of the survival rate and the incidence of biological, technical, and aesthetic complications of single crowns on implants reported in longitudinal studies with a mean follow-up of 5 years. Clin Oral Implants Res. 2012;23 Suppl 6:2-21.

4. Pjetursson BE, Heimisdottir K. Dental implants – are they better than natural teeth? Eur J Oral Sci. 2018;126(S1):81-7.

5. Sailer I, Fehmer V, Ioannidis A, Hämmerle CHF, Thoma DS. Threshold Value for the Perception of Color Changes of Human Gingiva. Int J Periodontics Restorative Dent. 2014;34(6):757–62.

6. Lemos CAA, Verri FR, Gomes JMDL, De Souza Batista VE, Cruz RS, Oliveira HFFE, et al. Ceramic versus metal-ceramic implant-supported prostheses: A systematic review and meta-analysis. J Prosthet Dent. 2019;121(6):879-886.e4.

7. Lemons JE. Biomaterials, Biomechanics, Tissue Healing, and Immediate-Function Dental Implants. J Oral Implantol. 2004;30(5):318-24.

8. Martínez-Rus F, Prieto M, Salido M, Madrigal C, Özcan M, Pradíes G. A Clinical Study Assessing the Influence of Anodized Titanium and Zirconium Dioxide Abutments and Peri-implant Soft Tissue Thickness on the Optical Outcome of Implant-Supported Lithium Disilicate Single Crowns. Int J Oral Maxillofac Implants. 2017;32(1):156–63.

9. Jung RE, Sailer I, Hämmerle CHF, Attin T, Schmidlin P. In Vitro Color Changes of Soft Tissues Caused by Restorative Materials. Int J Periodontics Restorative Dent. 2007;27(3):250-7.

10. Happe A, Strassert C, Stimmelmayr M, Zöller JE, Rothamel D, Schulte-Mattler V, et al. In Vitro Color Changes of Soft Tissues Caused by Dyed Fluorescent Zirconia and Nondyed, Nonfluorescent Zirconia in Thin Mucosa. Int J Periodontics Restorative Dent. 2013;33(1):e1-8.

11. Vazouras K, Gholami H, Margvelashvili-Malament M, Kim YJ, Finkelman M, Weber HP. An Esthetic Evaluation of Different Abutment Materials in the Anterior Maxilla: A Randomized Controlled Clinical Trial Using a Crossover Design. J Prosthodont Off J Am Coll Prosthodont. 2022;31(8):673-80.

12. Thoma DS, Brandenberg F, Fehmer V, Knechtle N, Hämmerle CH, Sailer I. The Esthetic Effect of Veneered Zirconia Abutments for Single-Tooth Implant Reconstructions: A Randomized Controlled Clinical Trial. Clin Implant Dent Relat Res. 2016 Dec 1;18(6):1210-17.

13. Benic GI, Scherrer D, Sancho‐Puchades M, Thoma DS, Hämmerle CHF. Spectrophotometric and visual evaluation of peri-implant soft tissue color. Clin Oral Implants Res. 2017;28(2):192–200.

14. Paniz G, Bressan E, Stellini E, Romeo E, Lops D. Correlation between subjective and objective evaluation of peri-implant soft tissue color. Clin Oral Implants Res. 2014;25(8):992-6.

15. Anodic Oxidation [Internet]. Corrosionpedia. [cited 2025 Jan 28]. Available from: https://www.corrosionpedia.com/definition/1471/anodic-oxidation.

16. Smith, J. R. Introduction to the Titanium Oxidation. Springer; 2018.

17. Mussano F, Genova T, Laurenti M, Zicola E, Munaron L, Rivolo P, et al. Early Response of Fibroblasts and Epithelial Cells to Pink-Shaded Anodized Dental Implant Abutments: An In Vitro Study. Int J Oral Maxillofac Implants. 2018;33(3):571-9.

18. Bas B, Cakan U. Evaluation of the effect of anodization-colored titanium abutments and zirconia substructure thickness on zirconia substructure color: An In vitro study. Niger J Clin Pract. 2022;25(12):2024-9.

19. Bittner N, Schulze-Späte U, Cleber S, Da Silva JD, Kim DM, Tarnow D, et al. Comparison of Peri-implant Soft Tissue Color with the Use of Pink-Neck vs Gray Implants and Abutments Based on Soft Tissue Thickness: A 6-Month Follow-up Study. Int J Prosthodont. 2020;33(1):29-38.

20. Gil MS, Ishikawa-Nagai S, Elani HW, Da Silva JD, Kim DM, Tarnow D, et al. Comparison of the Color Appearance of Peri-implant Soft Tissue with Natural Gingiva Using Anodized Pink-Neck Implants and Pink Abutments: A Prospective Clinical Trial. Int J Oral Maxillofac Implants. 2019;34(3):752-8.

21. Kleinheinz J, Büchter A, Fillies T, Joos U. Vascular basis of mucosal color. Head Face Med. 2005;1(1):4.

22. Belser UC, Grütter L, Vailati F, Bornstein MM, Weber HP, Buser D. Outcome Evaluation of Early Placed Maxillary Anterior Single-Tooth Implants Using Objective Esthetic Criteria: A Cross-Sectional, Retrospective Study in 45 Patients With a 2- to 4-Year Follow-Up Using Pink and White Esthetic Scores. J Periodontol. 2009;80(1):140–55.

23. Fürhauser R, Florescu D, Benesch T, Haas R, Mailath G, Watzek G. Evaluation of soft tissue around single-tooth implant crowns: the pink esthetic score. Clin Oral Implants Res. 2005;16(6):639–44.

24. Gil MS, Ishikawa‐Nagai S, Elani HW, Da Silva JD, Kim DM, Tarnow D, et al. A prospective clinical trial to assess the optical efficacy of pink neck implants and pink abutments on soft tissue esthetics. J Esthet Restor Dent. 2017;29(6):409–15.

25. Wang T, Wang L, Lu Q, Fan Z. Influence of anodized titanium abutments on the esthetics of the peri-implant soft tissue: A clinical study. J Prosthet Dent. 2021;125(3):445–52.

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Published

2025-04-30

How to Cite

Limírio, J. P. J. de O., Pereira, M. V., Taveira, E. B., Capalbo, L. C., da Silva, R. C., Pellizzer, E. P., … Oliveira, H. F. F. e. (2025). The Use of a Pink Anodized Abutment in Patients with thin Gingival Phenotype: a Case Report. ARCHIVES OF HEALTH INVESTIGATION, 14(4), 1115–1120. https://doi.org/10.21270/archi.v14i4.6589

Issue

Vol. 14 No. 4 (2025)

Section

Original Articles