IFFGM-driven digital implant prosthodontics: predictable aesthetics through crown-down planning

Smile aesthetics arise from the harmonious interaction of dental, facial and biological parameters, rather than isolated factors. Contemporary implant rehabilitation therefore requires a facially driven, crown-down approach integrating aesthetics, biology, surgery and prosthodontics. The concept of the ideal future free gingival margin (IFFGM) translates aesthetic analysis into a practical planning guide, defining a clear aesthetic-biological target before implant placement. By relating the IFFGM to existing tissues, clinicians can select preservative, resective or regenerative strategies. This integrated framework enhances predictability, peri-implant health and long-term aesthetic stability, particularly within the aesthetic zone.

CPD/Clinical Relevance: Defining the ideal future free gingival margin through facially driven, crown-down planning provides a practical aesthetic–biological reference that guides implant placement and tissue management.