William V Giannobile1, Ronald E Jung2, Frank Schwarz3,4. 1. Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, MI, USA. 2. Clinic of Fixed and Removable Prosthodontics and Dental Material Science, University of Zurich, Zurich, Switzerland. 3. Department of Oral Surgery, Universitätsklinikum Düsseldorf, Düsseldorf, Germany. 4. Department of Oral Surgery and Implantology, Carolinum, Johann Wolfgang Goethe-University Frankfurt, Frankfurt, Germany.
Abstract
OBJECTIVES: The goal of Working Group 1 at the 2nd Consensus Meeting of the Osteology Foundation was to comprehensively assess the effects of soft tissue augmentation procedures on peri-implant health or disease. MATERIALS AND METHODS: A systematic review and meta-analysis on the effects of soft tissue augmentation procedures included a total of 10 studies (mucosal thickness: n = 6; keratinized tissue: n = 4). Consensus statements, clinical recommendations, and implications for future research were based on structured group discussions and a plenary session approval. RESULTS: Soft tissue grafting to increase the width of keratinized tissue around implants was associated with greater reductions in gingival and plaque indices when compared to non-augmented sites. Statistically significant differences were noted for final marginal bone levels in favor of an apically positioned flap plus autogenous graft vs. all standard-of-care control treatments investigated. Soft tissue grafting (i.e., autogenous connective tissue) to increase the mucosal thickness around implants in the aesthetic zone was associated with significantly less marginal bone loss over time, but no significant changes in bleeding on probing, probing depths, or plaque scores when compared to sites without grafting. CONCLUSIONS: The limited evidence available supports the use of soft tissue augmentation procedures to promote peri-implant health.
OBJECTIVES: The goal of Working Group 1 at the 2nd Consensus Meeting of the Osteology Foundation was to comprehensively assess the effects of soft tissue augmentation procedures on peri-implant health or disease. MATERIALS AND METHODS: A systematic review and meta-analysis on the effects of soft tissue augmentation procedures included a total of 10 studies (mucosal thickness: n = 6; keratinized tissue: n = 4). Consensus statements, clinical recommendations, and implications for future research were based on structured group discussions and a plenary session approval. RESULTS: Soft tissue grafting to increase the width of keratinized tissue around implants was associated with greater reductions in gingival and plaque indices when compared to non-augmented sites. Statistically significant differences were noted for final marginal bone levels in favor of an apically positioned flap plus autogenous graft vs. all standard-of-care control treatments investigated. Soft tissue grafting (i.e., autogenous connective tissue) to increase the mucosal thickness around implants in the aesthetic zone was associated with significantly less marginal bone loss over time, but no significant changes in bleeding on probing, probing depths, or plaque scores when compared to sites without grafting. CONCLUSIONS: The limited evidence available supports the use of soft tissue augmentation procedures to promote peri-implant health.
Authors: Yi Man; Hai-Yang Yu; Zuo-Lin Wang; Yao Wu; Bang-Cheng Yang; Lei Cheng; Xue-Dong Zhou; Yao Sun Journal: Hua Xi Kou Qiang Yi Xue Za Zhi Date: 2019-02-01
Authors: Stefan P Bienz; Cedryck Vaquette; Alexis Ioannidis; Christoph H F Hämmerle; Ronald E Jung; Sašo Ivanovski; Daniel S Thoma Journal: Clin Oral Investig Date: 2022-10-18 Impact factor: 3.606
Authors: Andrea López-Pacheco; David Soto-Peñaloza; Mayra Gómez; David Peñarrocha-Oltra; Marco Antonio Alarcón Journal: Int J Implant Dent Date: 2021-02-22