The ideal treatment to address soft tissue defects is through the use of a graft. Using pink ceramic should be the clinician's last resort; however, if it is needed the goal is to simulate the appearance of healthy tissue. There are many challenges to achieving this goal, including:
- Ceramic is not soft tissue. It has a smooth and shiny surface, while natural gingival tissue is stippled with a dull surface.
- Hiding the transition from ceramic to soft tissue is difficult to achieve. If possible, I recommend keeping the apical extent of the pink ceramic out of the esthetic zone or view.
- Shade communication is challenging.
- There is a limited selection of colors for pink ceramic. There is a general tendency for the ceramic to be too orange or violet relative to the pink/red color of natural soft tissue.
Pink ceramic can be used on:
- Single veneers/crowns
- Implant abutments or crowns
- Pontic areas for both tooth-supported or implant restorations
Areas that it can be used on:
- Papillae deficiencies
- Facial or buccal soft tissue deficiencies
Keys to long-term success:
- Design the restoration to be cleansable with surfaces that are smooth, and highly polished. Try to avoid noncleansable areas or overlapping of gingiva, especially adjacent to natural teeth or implants.
- To achieve the optimum esthetic result both clinically and technically, I strongly recommend photographing a pink ceramic shade tab next to the tissue to be matched, just as you would to match a natural tooth.