Effect of connective tissue grafting on peri‐implant tissue in single immediate implant sites: A RCT

Abstract

This one-year study shows that connective tissue grafting in single, immediately placed and provisionalized implants leads to less recession of the peri-implant soft tissue at the mid-buccal aspect, irrespective of the gingival biotype (www.trialregister.nl: TC3815).

The influence of different soft‐tissue grafting procedures at single implant placement on esthetics: A randomized controlled trial

“…The same applied for radiographic measurements: 0.71 (95% CI 0.32‐0.87) and 0.9 (95% CI 0.75‐0.96) for the intra‐ and interobserver agreements. The ICCs for esthetic assessments were 0.86 (95% CI 0.68‐0.94) and 0.90 (95% CI 0.77‐0.96) for the intra‐ and interobserver agreements, respectively …”

“…The T 1 to T 12 MBML changes were assessed from the length of the implant crown (Supplementary Figure 1 C, D). MBML changes between T pre and T 12 were calculated by adding both measurements …”

“…According to the literature, grafting the buccal peri‐implant soft tissue with a CTG effectively increases the soft tissue contour . Additionally, connective tissue grafting (CT grafting) was demonstrated to be effective in preserving the mid‐buccal mucosal level . In contrast to this, a retrospective study showed that CT grafting resulted in minimal changes in soft‐tissue volume and level without significant difference compared to no soft‐tissue grafting over 5 years of follow‐up.…”

Influence of soft tissue grafting, orofacial implant position, and angulation on facial hard and soft tissue thickness at immediately inserted and provisionalized implants in the anterior maxilla

“…2 Facial mucosal thickness is essential for an esthetically pleasing anterior implant restoration and has become of vital importance for both esthetic and functional success in implant dentistry. [4][5][6] It has been reported that an implant with a thicker mucosa is also less prone to marginal bone loss. [4][5][6] It has been reported that an implant with a thicker mucosa is also less prone to marginal bone loss.…”

Is a soft tissue graft harvested from the maxillary tuberosity the approach of choice in an isolated site?

“…To increase tissue thickness, using tCTG can also be successfully applied during an immediate implant placement in the esthetic area, where thickening marginal soft tissue can prevent recession of the midfacial mucosa . tCTG has demonstrated a mean gain of 0.1 mm in the midbuccal mucosal tissue versus a loss of 0.5 mm in the no‐graft site during immediate implant placement . Nevertheless, no differences in the pink esthetic score and patient satisfaction were found …”