Creeping Attachment Involving Dental Implants: Two Case Reports with a Two-Year Follow-Up from an Ongoing Clinical Study

Neto, Armando Rodrigues Lopes Pereira; Passoni, Bernardo Born; Benfatti, César Augusto Magalhães; Magini, Ricardo de Souza; Bianchini, Marco Aurélio

doi:10.1155/2014/756908

Cited by 8 publications

(7 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Analyzing the sample, it appears that in the anterior zone a thinner BBT is found, which probably is the reason of a higher recession at ∆TH.In addition, in this area, the sample size is inappropriate for representative statistics; further investigations with a wider sample size in the aesthetic area is needed. In the present study, the buccal free gingival margin was found to mature coronally when the BBT was ≥1.5 mm (Group 2), as also described in a previous case report by Pereira et al [44]. Another study also reported that the buccal tissue thickness has a significant influence on its own height relative to the implant connection in order to maintain consistent proportions [10].…”

Section: Discussionsupporting

confidence: 88%

Correlation between Buccal Bone Thickness at Implant Placement in Healed Sites and Buccal Soft Tissue Maturation Pattern: A Prospective Three-Year Study

et al. 2020

View full text Add to dashboard Cite

Background: Optimal aesthetic implant restoration is a combination of a visually pleasing prosthesis and adequate surrounding peri-implant soft tissue architecture. This study describes the influence of the residual buccal bone thickness (BBT), measured at the time of implant placement, on the soft tissue maturation during three years of follow-up. Methods: Seventy-eight implants were enrolled in the present study. The BBT was assessed at the surgical stage and each case assigned to Group 1 (BBT values ≤0.5 mm), Group 2 (BBT values >0.5 and <1.5 mm), or Group 3 (BBT values ≥1.5 mm). Only native bone and healed sites were included. The tooth height (TH), based on the distance between the buccal free gingival margin at the zenith level and the crown incisal edge, according to the main axis of the tooth, was monitored at one, two, and three years from the final prosthodontic rehabilitation to determine any occurrence of recession or coronal repositioning of the gums over time. A Pearson Two-Tailed test was applied and the significance level set at p ≤ 0.05. Results: For BBT values ≤0.5 mm, the buccal gum at three years showed an average recession of 1.22 ± 0.41 mm. For BBT values >0.5 and <1.5 mm, the buccal gum also showed recession of 0.64 ± 0.29 mm. In contrast, for BBT values ≥1.5 mm, the buccal gum showed coronal growth of 0.77 ± 0.22 mm. The differences between the groups were significant (p ≤ 0.01) at all times. Conclusion: The BBT at the time of implant placement was found to affect the buccal gingival margin stability over three years of observation.

show abstract

Section: Discussionsupporting

confidence: 88%

Correlation between Buccal Bone Thickness at Implant Placement in Healed Sites and Buccal Soft Tissue Maturation Pattern: A Prospective Three-Year Study

et al. 2020

View full text Add to dashboard Cite

show abstract

“…In the past years, reports of creeping attachment occurring around dental implants have been described. 18,19 The occurrence of coronal migration of the peri-implant soft tissue margin was reaffirmed in the present report. It can be speculated that the accurate plaque control and the optimal characteristics of autologous tissue (CTG) may have favoured this phenomenon.…”

Section: Discussionsupporting

confidence: 85%

Modified one‐stage technique of laterally positioned flap with subepithelial connective tissue graft for the treatment of peri‐implant soft tissue dehiscence in the esthetic zone: A 5‐year follow‐up

Almeida

Sá

Furquim

et al. 2023

Clin Adv Periodontics

View full text Add to dashboard Cite

BackgroundThe state of art of tissue grafting allows significant improvements in the soft tissue phenotype. The importance of appropriate soft tissue phenotype around implants is supported by recent literature. The present case report aims to describe the application of a modified one‐stage technique of laterally positioned flap with sub‐epithelial connective tissue graft (CTG) for the treatment of peri‐implant soft tissue dehiscence in the esthetic zone.Methods and ResultsA 38‐year‐old female presented 4 years following prosthetic restoration, with a localized soft tissue defect in height and thickness at the buccal aspect of the implant at #11, and the abutment exposed to the oral cavity. Incisions with internal and external bevels were performed in the medial and distal margins of the dehiscence, respectively, toward the alveolar mucosa. After intrasulcular incision, the area was de‐epithelialized and a split thickness flap from mesial #11 to distal #14 was elevated. A tunnel was prepared at #21. CTG was stabilized mesially, within the tunnel prepared, and distally, through simple interrupted sutures. Vertical compressive sutures were performed on the CTG. The flap was laterally positioned and secured by means of suspended sutures. Healing was uneventful, increased thickness and height of the peri‐implant mucosa were observed, with great esthetic outcome. The soft tissue margin was stable at the 5‐year follow‐up.ConclusionThe technique described in this case report showed promising results for covering exposed implant abutment in the esthetic zone, as well as for modification of the soft tissue phenotype around dental implants.Key pointsWhy is this case new information A modified one‐stage technique that allows coverage of exposed metallic displays of titanium implants while modifying the soft tissue phenotype in the esthetic zone.What are the keys to successful management of this case? Meticulous incisions and internal and external bevels. Adequate elevation to allow repositioning without tension. Adequate graft size that extends through all the recipient bed; and tension‐free suture. What are the primary limitations to success in this case? Presence of an implant installed in a non‐satisfactory three‐dimensional position. And poor hygiene and plaque accumulation postoperatively.

show abstract

“…A coronal displacement of the mucosal margin occurred in 6 out of 19 cases. In this sense, some recent case reports have observed coverage of previously exposed implant threads at sites that treated with FGGs (Parra & Capro, 2018; Pereira et al, 2014).…”

Section: Discussionmentioning

confidence: 92%

Keratinized tissue gain after free gingival graft augmentation procedures around teeth and dental implants: A prospective observational study

Golmayo

Barallat

Losada

et al. 2020

J Clinic Periodontology

View full text Add to dashboard Cite

AimThe primary goal was to compare the amount of keratinized tissue width (KTW) gain after free gingival graft (FGG) procedures around implants and teeth after 6 and 12 months of healing.Materials and MethodsPatients with mucogingival defects (<2 mm of KT) around teeth and implants underwent a gingival augmentation procedure by means of a FGG. Clinical measurements were performed with an individual stent to determine keratinized tissue width (KTW), length (KTL), graft shrinkage (GS) and gingival margin position (GMP) at 2 weeks, 6 weeks, 3 months, 6 months and 12 months after surgery.ResultsTwenty‐nine patients (35 sites) participated in this prospective study. After surgery, KTW decreased and GS increased significantly in both treatment groups during the whole follow‐up period, but the biggest changes were observed at 6 weeks. When comparing both treatment groups, implant sites showed significantly more reduction in KTW and more GS. Thus, at 12 months, KTW and GS reduced 2.03 ± 2.1 mm and 36.74 ± 38.2% in the teeth group and 2.91 ± 12.03 mm and 61.8 ± 36.25% around implants, respectively.ConclusionsA significantly greater reduction in KTW and more GS might be expected at implant sites.

show abstract

Creeping Attachment Involving Dental Implants: Two Case Reports with a Two-Year Follow-Up from an Ongoing Clinical Study

Cited by 8 publications

References 17 publications

Correlation between Buccal Bone Thickness at Implant Placement in Healed Sites and Buccal Soft Tissue Maturation Pattern: A Prospective Three-Year Study

Correlation between Buccal Bone Thickness at Implant Placement in Healed Sites and Buccal Soft Tissue Maturation Pattern: A Prospective Three-Year Study

Modified one‐stage technique of laterally positioned flap with subepithelial connective tissue graft for the treatment of peri‐implant soft tissue dehiscence in the esthetic zone: A 5‐year follow‐up

Keratinized tissue gain after free gingival graft augmentation procedures around teeth and dental implants: A prospective observational study

Contact Info

Product

Resources

About