Augmentation of keratinized gingiva around dental implants

Kissa, Jamila; Kholti, Wafa El; Laalou, Younes; Farouki, M. El

doi:10.1016/j.jormas.2017.04.003

Cited by 12 publications

(8 citation statements)

References 27 publications

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“…Last but not the least, presence of keratinized gingiva may decrease bone loss, 50 establish better mucosal level, 49 promote papillae formation, 46 and maintain healthy gingiva (normal color and texture) 51 that all improved esthetic appearance of the implant in the esthetic zone.…”

Section: Discussionmentioning

confidence: 99%

Does timing of implant placement affect esthetic results in single‐tooth implants? A cohort evaluation based on mPES

Ghahroudi

Rokn

Shamshiri

et al. 2020

J Esthet Restor Dent

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Objective: This study sought to use the mPES to assess various maxillary implant surgical results and placement timing in the esthetic zone. Materials and methods: This cohort study was conducted on 146 patients undergoing immediate, early, and late implantation. They received maxillary single-tooth implants in the anterior region during the past 5 years. Patients were clinically examined to determine their mPES and patient−/implant-related parameters. Simple and multiple nominal regression analyses were applied to show how such parameters correlated with mPES. Results: The results were found to be in three categories namely the most clinically excellent, acceptable, and unacceptable. Although the most frequent clinically excellent results were noted in the late implantation (late 49.0%, early 25.6%, immediate 24.1%); early implantation was the group with the least frequent clinically unacceptable results (late 16.3%, early 4.7%, immediate 14.8%). The mean width of keratinized tissue was significantly more in patients with clinically excellent results (Pvalue = 0.01). Conclusion: Within the limitations of this study, the author(s) drew the following conclusions: (a) the late implant placement was more likely to be reliable and esthetically acceptable, (b) early implant placement remained the safest method to prevent unaesthetic appearance, and (c) Width of keratinized gingiva (≥3 mm) was a significant factor to achieve implant esthetic results. Clinical significance: Maxillary single-tooth implants in the anterior region often have optimal osseointegration and functional performance, but esthetic plays a significant role in the success of these implants. So the aim of the present study was to employ mPES to assess the effect of placement timing and other patient and implant-related variables on esthetic outcomes.

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Section: Discussionmentioning

confidence: 99%

Does timing of implant placement affect esthetic results in single‐tooth implants? A cohort evaluation based on mPES

Ghahroudi

Rokn

Shamshiri

et al. 2020

J Esthet Restor Dent

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“…Therefore, several techniques have been proposed, over the years, to increase KMW around dental implants [ 24 – 28 ].…”

Section: Introductionmentioning

confidence: 99%

The Use of a Novel Porcine Derived Acellular Dermal Matrix (Mucoderm) in Peri-Implant Soft Tissue Augmentation: Preliminary Results of a Prospective Pilot Cohort Study

Papi

Pompa

2018

BioMed Research International

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Objective Over the years, several techniques have been proposed for soft tissue augmentation around dental implants in order to improve keratinized mucosa width (KMW). Recently, a porcine derived acellular dermal matrix (Mucoderm®) has been proposed as autogenous graft substitute in order to avoid palatal harvesting and obtain comparable results to connective tissue grafts, in terms of aesthetics and function. The aim of this study is to present the one-year follow-up results of this matrix in peri-implant soft tissue augmentation procedures. Material and Methods Twelve patients were enrolled in this pilot prospective study: a dental implant was placed in the upper premolar area and, at implant uncovering after eight weeks, the matrix was inserted. KMW gain was considered as primary outcome variable. Results After one month from matrix insertion, mean KMW was 7.86±3.22 mm (100%), with no statistically significant intragroup variations (p>0.05). No membrane exposures or wound healing complications occurred during postoperative phase and, after one year, mean KMW was 5.67±2.12 mm (72.13%). Conclusions The results of the present pilot study indicate that by placing a Mucoderm membrane during implant surgery the keratinized tissue width can be augmented, and the width remains stable for the assessment period of 12 months. Further studies with greater power and longer investigation period are needed to confirm the suggestion for clinical use. Clinical trial registration number is EudraCT number 2018-000147-16.

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“…It should be noted that Kissa et al, (28) reported a controversy regarding the association between an adequate amount of keratinized tissue and the peri-implant health following laser treatment. However, our current study using 940 nm diode laser ablation increase the amount of keratinized tissue around the dental implants and reduced gingival inflammation.…”

Section: Discussionmentioning

confidence: 99%

Preservation of keratinized gingiva around dental implants using a diode laser when uncovering implants for second stage surger

Al-Delayme

2019

Eur Oral Res

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Purpose:The aim of the present study was to assess if a 940-nm diode laser or a traditional scalpel approach is more effective in minimizing patient comfort and postoperative sequelae, preserving peri-implant keratinized mucosa, and in enhancing impression quality after uncovering dental implants.Materials and methods:We designed a prospective, split mouth, single blinded, randomi¬zed controlled trial with patients who needed uncovering of dental implants. Our analysis included 388 implants in 73 patients. Split mouth technique was used to compare two approaches for uncovering implants: laser study group vs. scalpel control group. Patients were evaluated for intra- and post-operative pain and bleeding. At 1, 2, and 3 weeks post procedure patients in both groups were rechecked for postoperative sequelae, keratinized mucosal thickness quality and quantity, and accuracy of the implant emergence profile.Results:The laser study group showed that there was a reduction in postoperative pain and bleeding that was statistically significant in comparison to the control group. There were also statistically significant differences in gingival color and presence or absence of soft tissue edema and in the gingival was emergency profile between the laser and scalpel sides at 1, 2, and 3 weeks’ post-procedure. Statistically significant differences (p< 0.001) were observed between the two groups in the criteria of ideal or satisfactory soft tissue projection in the gingival emergency profile, which indicates that impressions can be taken immediately or within 1 week after laser surgery.Conclusion:Uncovering dental implants using a diode laser operating at the wavelength of 940 ±10 nm, and a power output of 0.4-10 W is recommended for preparing an accurate implant emergence profile. Laser treatment can also effectively preserve keratinized mucosa around implants in comparison to the conventional scalpel technique.

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Augmentation of keratinized gingiva around dental implants

Cited by 12 publications

References 27 publications

Does timing of implant placement affect esthetic results in single‐tooth implants? A cohort evaluation based on mPES

Does timing of implant placement affect esthetic results in single‐tooth implants? A cohort evaluation based on mPES

The Use of a Novel Porcine Derived Acellular Dermal Matrix (Mucoderm) in Peri-Implant Soft Tissue Augmentation: Preliminary Results of a Prospective Pilot Cohort Study

Preservation of keratinized gingiva around dental implants using a diode laser when uncovering implants for second stage surger

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