Prevalence and risk/protective indicators of buccal soft tissue dehiscence around dental implants

Romandini, Mario; Pedrinaci, Ignacio; Lima, Cristina; Soldini, Maria Costanza; Araoz, Ana; Sanz, Mariano

doi:10.1111/jcpe.13417

Cited by 34 publications

(38 citation statements)

References 41 publications

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“…Today, it is also suggested in soft tissue augmentation. After comparing our results with previous randomised clinical trials, our data seem to be in line with the studies by Thoma et al [12] and Zeltner et al [13] regarding the buccal gain of VCMXA (0.77 ± 0.74 mm; 1.1 ± 1.4 mm) [1,12] . Unfortunately, regarding VCMXB, there are no data regarding these types of 3D evaluations.…”

Section: Discussionsupporting

confidence: 92%

See 1 more Smart Citation

3D analysis at implant sites after soft tissue augmentation with two types of collagen matrices: a pilot study

Mancini¹,

Fratini²,

Tarallo³

et al. 2021

PAR

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Section: Discussionsupporting

confidence: 92%

“…Tooth replacement by means of dental implants is considered to be a predictable procedure in modern dentistry [1] . A key factor in predictably achieving good aesthetic and functional results in anterior restorations is to preserve or regain adequate tissue volume at the implant level [2] .…”

Section: Introductionmentioning

confidence: 99%

3D analysis at implant sites after soft tissue augmentation with two types of collagen matrices: a pilot study

Mancini¹,

Fratini²,

Tarallo³

et al. 2021

PAR

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show abstract

“…Some authors observed that KM is not essential to maintain periimplant health. [2][3][4][5][6][7][8] In addition, the 2017 World Workshop on Periodontal and Peri-implant Diseases and Conditions did not find any clear relationship. [9][10][11] Nevertheless, it has been reported that a wider band of KM may better preserve soft and hard tissue stability 12 being also more favorable for the long-term maintenance of dental implants.…”

Section: Introductionmentioning

confidence: 89%

Keratinized mucosa changes around one‐stage implants: A prospective case series

Mainas

Magaz

Vallés

et al. 2021

Clin Implant Dent Rel Res

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Background: The need of an adequate band of keratinized tissue (KT) to maintain periodontal health around teeth as well as around implants has been a debated topic over many years but still no conclusions have been drawn.Objectives: This prospective case series evaluates the changes undergone by the keratinized mucosa (KM) and the soft tissue volume around non-submerged implants before the prosthetic rehabilitation.Material and Methods: A total of 40 patients were included. The primary outcome was to analyze the width of the KM at both buccal and lingual aspects compared to the pre-existing KT in the edentulous ridge only in mandibular (pre)molar area. The mucogingival line was marked with a surgical pen and an intra-oral scanner was used to take the impression of the implant area the day of the surgery (T0, baseline) and before the crown placement (T1, 3 months). Buccal soft tissue volume was measured at 1, 3, and 5 mm apical to the healing abutment position and a comparison between T0 and T1 was performed. Student t-test was used according to the distribution of the data (Shapiro-Wilk).Results: The mean KT width at baseline was 4.54 ± 1.31 mm at buccal side and 5.04 ± 1.88 mm at lingual side. After 3 months, the mean KM values were 3.15 ± 1.03 mm and 3.72 ± 1.56 mm at the buccal and lingual aspects, respectively. The differences, 30.6% of KM reduction buccally and 26.1% of reduction lingually, were statistically significant for both sides.Conclusions: Within the limitations of this investigation, it was observed that the KM width from the baseline to the 3 months follow up presented a significant dimensional change in both the buccal and lingual aspects, whereas buccal soft tissue volume showed an increase between baseline and follow up.

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“…Furthermore, peri-implant diseases, particularly, peri-implantitis progresses in a nonlinear and accelerating pattern, thus, making its early diagnosis critical (7). Peri-implant diseases are, in most cases, asymptomatic and not perceived by the patients, making their diagnosis challenging (8). Thus, clinicians should continuously monitor implants in function on a regular basis.…”

Section: Introductionmentioning

confidence: 99%

Peri-implant disease: early diagnosis and non-surgical treatment—a narrative literature review

Kwon¹,

Yen²,

Levin³

2022

Front Oral Maxillofac Med

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The purpose of this narrative review is to help clinicians understand the main etiologic factor, commonly identified contributing factors, early diagnostic science, and non-surgical therapeutic modalities of peri-implant diseases.Background: Peri-implant diseases (i.e., peri-implant mucositis and peri-implantitis) are common biological complications of dental implant therapy, which may result in the failure of dental implants.Understanding the etiologic and contributing factors is the key to identify implants that are potentially at risk for peri-implant diseases. Furthermore, early diagnosis allows clinicians to execute initial non-surgical therapy in a timely manner, thus, potentially avoiding premature implant failure.Methods: Literature search was conducted using specific keywords related to diagnosis and non-surgical management of peri-implant diseases. Relevant literature between January 1st, 1993 and April 30th, 2021 were carefully selected and included in this narrative review.Conclusions: Patients with potential contributing factors for peri-implant diseases should be monitored carefully for early signs of peri-implant diseases. These factors include smoking habit, active or past history of periodontal diseases, unfavorable restorative conditions (i.e., excessive cements, excessive occlusion, limited access for plaque removal), lack of regular maintenance therapy, diabetes, and lack of keratinized tissue. Bleeding on probing appeared to be the most reliable early sign of peri-implant diseases. Initial non-surgical treatment should be delivered based on the principles of cause related therapy, specifically targeting the major etiologic factor for peri-implant diseases, dental plaque. During this phase, in addition to professional mechanical debridement, patient's active participation in removing dental plaque through home oral care is indispensible to achieve successful outcome. Any contributing factor should be eliminated or minimized. In cases with advanced peri-implantitis, a surgical therapy is often necessary. After successfully resolving peri-implant diseases, a regular maintenance therapy should be provided which allows continuous monitoring of patients and their implants.

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Prevalence and risk/protective indicators of buccal soft tissue dehiscence around dental implants

Cited by 34 publications

References 41 publications

3D analysis at implant sites after soft tissue augmentation with two types of collagen matrices: a pilot study

3D analysis at implant sites after soft tissue augmentation with two types of collagen matrices: a pilot study

Keratinized mucosa changes around one‐stage implants: A prospective case series

Peri-implant disease: early diagnosis and non-surgical treatment—a narrative literature review

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