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      Fig 13h New screw-retained ceramic crown in situ.

      Dentists should focus on more than just the implants and prosthetic restorations to achieve long-term clinical success.

      Patients must be strongly motivated to adhere strictly to SPT and should be made to understand that supportive care is a key factor in enhancing the long-term outcome by controlling reinfection. Although the topic remains controversial due to a lack of proper scientific evidence, there is still enough clinical evidence that adequate keratinized tissue and vestibular depth may positively impact the health of the peri-implant mucosa. Furthermore, soft-tissue augmentation around implants in specific clinical situations may be of major help in ensuring long-term stability. Only if both the clinician and the patient understand the importance of a custom-planned SPT program—which may also include mucogingival surgery—can the risk of biological complications be reduced to a minimum.