OBJECTIVES: The aim of the study was to evaluate soft-tissue coverage and patient aesthetic satisfaction of a novel surgical-prosthetic approach to soft tissue dehiscence (STD) around single endosseous implant. MATERIAL AND METHODS: Twenty patients with buccal soft tissues dehiscence around single implants in the aesthetic area were consecutively enrolled. Treatment consisted in: removal of the implant supported crown, reduction in the implant abutment, coronally advanced flap in combination with connective tissue graft (CTG) and final restoration. The unrestored contralateral tooth normally positioned without recession defect was used as a reference. The soft tissue coverage and patient satisfaction were evaluated 1 year after the final restoration. RESULTS: One-year mean STD coverage was 96.3%, and complete coverage was achieved in 75% of the treated sites. The increase (1.54 ± 0.21 mm) in buccal soft tissue thickness (STT) at 1 year was significantly correlated with CTG thickness at time of the surgery. The mean difference between graft thickness and STT increase was 0.09 ± 0.14 mm, corresponding to the 5.8% of the original graft thickness. The aesthetic analysis showed a significant improvement between the baseline (median, 3.8; 95% CI, 2-4) and the 1-year (median, 8.0; 95% CI, 8-10) visual analogue scale (VAS) scores. CONCLUSION: The results from the present study demonstrated that the proposed bilaminar technique was effective in the coverage of buccal STD around single dental implant and the suggested prosthetic-surgical approach was aesthetically successful.
OBJECTIVES: The aim of the study was to evaluate soft-tissue coverage and patient aesthetic satisfaction of a novel surgical-prosthetic approach to soft tissue dehiscence (STD) around single endosseous implant. MATERIAL AND METHODS: Twenty patients with buccal soft tissues dehiscence around single implants in the aesthetic area were consecutively enrolled. Treatment consisted in: removal of the implant supported crown, reduction in the implant abutment, coronally advanced flap in combination with connective tissue graft (CTG) and final restoration. The unrestored contralateral tooth normally positioned without recession defect was used as a reference. The soft tissue coverage and patient satisfaction were evaluated 1 year after the final restoration. RESULTS: One-year mean STD coverage was 96.3%, and complete coverage was achieved in 75% of the treated sites. The increase (1.54 ± 0.21 mm) in buccal soft tissue thickness (STT) at 1 year was significantly correlated with CTG thickness at time of the surgery. The mean difference between graft thickness and STT increase was 0.09 ± 0.14 mm, corresponding to the 5.8% of the original graft thickness. The aesthetic analysis showed a significant improvement between the baseline (median, 3.8; 95% CI, 2-4) and the 1-year (median, 8.0; 95% CI, 8-10) visual analogue scale (VAS) scores. CONCLUSION: The results from the present study demonstrated that the proposed bilaminar technique was effective in the coverage of buccal STD around single dental implant and the suggested prosthetic-surgical approach was aesthetically successful.
Authors: Aretha Heitor Veríssimo; Anne Kaline Claudino Ribeiro; Ana Rafaela Luz de Aquino Martins; Bruno Cesar de Vasconcelos Gurgel; Ruthineia Diógenes Alves Uchoa Lins Journal: J Mater Sci Mater Med Date: 2021-08-18 Impact factor: 3.896
Authors: Fernando Suárez López Del Amo; Shan-Huey Yu; Gilberto Sammartino; Anton Sculean; Giovanni Zucchelli; Giulio Rasperini; Pietro Felice; Giorgio Pagni; Vincenzo Iorio-Siciliano; Maria Gabriella Grusovin; Giovanni E Salvi; Alberto Rebaudi; Giuseppe Luongo; Jack T Krauser; Martina Stefanini; Andrea Blasi; Jaafar Mouhyi; Faten Ben Amor; Fatme M Hamasni; Konstantinos Valavanis; Alain Simonpieri; Ahmed M Osman; Erda Qorri; Rosario Rullo; Arzu Naipoglu; Vincenzo Bruno; Gaetano Marenzi; Francesco Riccitiello; Roberta Gasparro; Nikos Mardas; Gianrico Spagnuolo; Leonzio Fortunato; Hom-Lay Wang Journal: Int J Environ Res Public Health Date: 2020-03-28 Impact factor: 3.390