BACKGROUND: Dental implants are widely used to replace lost teeth. It was suggested that surgical manipulation/augmentation of peri-implant soft tissue may be beneficial to increase the width/thickness of keratinized tissue (KT) and to enhance aesthetic outcomes of implant therapy. The aim of this paper was to provide a narrative review of the literature concerning soft tissue management at implant sites. MATERIAL AND METHODS: Clinical studies were identified with both medline and hand searches. Three topics were considered in this review: (i) the significance of KT at implant sites, (ii) the surgical techniques to increase KT and (iii) soft tissue stability around implants. RESULTS: Several papers concerning soft tissue management at implant sites were identified, mainly expert opinions, case reports and case series. In addition, a systematic review was selected. Generally, the level of evidence was weak. So far, literature analysis showed that (i) the width of KT did not influence the survival rate of dental implants; (ii) there is no evidence to recommend a specific technique to preserve/augment KT; and (iii) factors including bone level, KT and implant features have not been shown to be associated with future mucosal recession around dental implants. CONCLUSION: Although scientific evidence in most part is lacking, soft tissue augmentation at implant sites may need to be considered in some clinical situations.
BACKGROUND: Dental implants are widely used to replace lost teeth. It was suggested that surgical manipulation/augmentation of peri-implant soft tissue may be beneficial to increase the width/thickness of keratinized tissue (KT) and to enhance aesthetic outcomes of implant therapy. The aim of this paper was to provide a narrative review of the literature concerning soft tissue management at implant sites. MATERIAL AND METHODS: Clinical studies were identified with both medline and hand searches. Three topics were considered in this review: (i) the significance of KT at implant sites, (ii) the surgical techniques to increase KT and (iii) soft tissue stability around implants. RESULTS: Several papers concerning soft tissue management at implant sites were identified, mainly expert opinions, case reports and case series. In addition, a systematic review was selected. Generally, the level of evidence was weak. So far, literature analysis showed that (i) the width of KT did not influence the survival rate of dental implants; (ii) there is no evidence to recommend a specific technique to preserve/augment KT; and (iii) factors including bone level, KT and implant features have not been shown to be associated with future mucosal recession around dental implants. CONCLUSION: Although scientific evidence in most part is lacking, soft tissue augmentation at implant sites may need to be considered in some clinical situations.
Authors: Aous A Abdulmajeed; Jaana Willberg; Stina Syrjänen; Pekka K Vallittu; Timo O Närhi Journal: J Mater Sci Mater Med Date: 2015-01-15 Impact factor: 3.896
Authors: Armando R Lopes Pereira Neto; Bernardo Born Passoni; José Moisés de Souza; João Gustavo Oliveira de Souza; César Augusto Magalhães Benfatti; Ricardo de Souza Magini; Marco Aurélio Bianchini Journal: Case Rep Dent Date: 2014-09-03
Authors: Esra Baltacıoğlu; Fatih Mehmet Korkmaz; Nilsun Bağış; Güven Aydın; Pınar Yuva; Yavuz Tolga Korkmaz; Bora Bağış Journal: Open Dent J Date: 2014-11-28