The Significance of Keratinized Mucosa on Implant Health: A Systematic Review

Lin, Guo‐Hao; Chan, Hsun‐Liang; Wang, Hom Lay

doi:10.1902/jop.2013.120688

Cited by 394 publications

(372 citation statements)

References 56 publications

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“…Several reviews noted insufficient evidence for the need for keratinized mucosa around implants to maintain peri-implant tissue health (16,35,42,43). In the present study, the width of keratinized mucosa was not associated with development of peri-implant diseases.…”

Section: Discussioncontrasting

confidence: 64%

“…A number of studies have reported fairly high prevalences for peri-implant mucositis and peri-implantitis (5,(8)(9)(10)(11)(12). Some evidence suggests that poor oral hygiene (9), history of periodontitis (13,14), smoking (15), lack of keratinized mucosa (16), and implant surface topography (17) are associated with peri-implant mucositis and peri-implantitis. Furthermore, periodontally compromised patients who did not completely adhere to supportive periodontal therapy had a higher implant failure rate (18,19).…”

Section: Introductionmentioning

confidence: 99%

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Prevalence and risk factors for peri-implant diseases in Japanese adult dental patients

et al. 2017

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We investigated the prevalences and risk factors for peri-implant diseases in Japanese adult dental patients attending a follow-up visit at dental hospitals or clinics as part of their maintenance program. This cross-sectional multicenter study enrolled patients with dental implants who attended regular check-ups as part of a periodontal maintenance program during the period from October 2012 through September 2013. Patients with implants with at least 3 years of loading time were included in the study. The condition of peri-implant tissue was examined and classified into the following categories: healthy, peri-implant mucositis, and peri-implantitis. Patients were also evaluated for implant risk factors. A total of 267 patients (110 men, 157 women; mean age: 62.5 ± 10.7 years) were analyzed. The prevalence of patient-based peri-implant mucositis was 33.3% (n = 89), and the prevalence of peri-implantitis was 9.7% (n = 26). Poor oral hygiene and a history of periodontitis were strong risk factors for peri-implant disease. The present prevalences were lower than those previously reported. The quality of periodontal therapy before and after implant installation and patient compliance and motivation, as indicated by plaque control level, appear to be important in maintaining peri-implant tissue health.

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Section: Discussioncontrasting

confidence: 64%

Section: Introductionmentioning

confidence: 99%

Prevalence and risk factors for peri-implant diseases in Japanese adult dental patients

et al. 2017

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“…Another advantage that seems not to draw much attention in the literature is the abundance of keratinized mucosa that can be achieved in the area of the fistula with a palatal flap, which can be a valuable asset to provide support for a future dental implant in the region [26][27] . As far as the reported limitations of the palatal flap are concerned, limited elasticity did not jeopardize its satisfactory displacement, as, with the technique used, the flap was detached from the periosteum and extended all the way towards the posterior third and soft portion of the palate, where limited elasticity is no longer critical 16 .…”

Section: Discussionmentioning

confidence: 99%

Use of a palatal pedicle flap for closure of an oroantral fistula

Marcantonio

Palmieri

Gorga

et al. 2015

RGO, Rev. Gaúch. Odontol.

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Sinus lifting has become a routine procedure in modern implant dentistry. Despite RESUMOA cirurgia de elevação da mucosa do seio maxilar para enxerto ósseo e posterior colocação de implantes osseointegráveis vem se tornando um procedimento de rotina na implantodontia moderna. Embora previsível, em alguns casos, tal procedimento, pode levar a complicações e sequelas consideráveis. Na maioria das vezes, essas complicações são ocasionadas por falhas técnicas, como a perfuração da membrana sinusal no momento transcirúrgico, o que pode acarretar perda do enxerto devido a um processo infeccioso no interior do seio maxilar, cuja via de drenagem acaba provocando a comunicação com a cavidade oral. A fístula bucossinusal é caracterizada pela persistência e epitelização desse pertuito. Neste relato é apresentado um caso de fechamento de fístula bucossinusal com o uso de um retalho palatino pediculado, em um paciente que havia desenvolvido um processo infeccioso, após ter sido submetido à realização de uma cirurgia para a elevação do seio maxilar. A cirurgia para o fechamento das comunicações bucossinusais apresenta técnicas variadas, que podem ser eleitas de acordo com as preferências do operador, além da localização e características da comunicação. Para o presente relato de caso, a técnica do retalho palatino pediculado foi eleita para o tratamento cirúrgico, proporcionando a cura do paciente. A técnica do retalho palatino pediculado mostrou-se uma opção adequada para o fechamento da fístula bucossinusal em um único ato cirúrgico, sem perda de mucosa ceratinizada ou diminuição do sulco vestibular na região da fístula.Termos de indexação: Implantes dentários. Transplante. Transplante homólogo. Use of a palatal pedicle flap for closure of an oroantral fistulaFechamento de fístula bucossinusal com retalho palatino pediculado

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“…Ausencia de encía queratinizada: La deficiencia de mucosa queratinizada alrededor de los implantes, parece estar relacionada a parámetros clínicos de inflamación y a la acumulación de biolfim. Sin embargo, en base a la evidencia disponible actualmente, la cantidad de mucosa queratinizada en relación al desarrollo de la peri implantitis permanece controversial (28,29) .…”

Section: Figunclassified

Taller 5 - Peri-implantitis

Sales

Esquenazi

Minvielle

et al. 2017

Odontoestomatología

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MODALIDAD DE TRABAJO DEL TALLER DE PERI-IMPLANTITIS.La misma se dividió en 3 etapas:1) Desarrollo de temáticas guía, selección y envío de artículos, 2) Recepción, evaluación y devolución de artículos y 3) Taller propiamente dicho.PRIMERA ETAPA: dio inicio en febrero de 2014, donde se formularon 5 preguntas guía con el objetivo de ordenar la discusión del taller. Ellas fueron: Diagnóstico, Epidemiología, Factores de riesgo, Antecedentes Periodontales y Terapéutica de la Peri-Implantitis. Se realizó una búsqueda bibliográfica de artículos en PUBMED, EMBASE, LILACS y COCHRANE, en el lapso comprendido del año 2000 a la fecha, tanto en inglés como en portugués, siendo utilizados los siguientes descriptores: peri-implantitis, peri implant disease, perimplantitis, risk factor, epidemiology, incidence, prevalecence, treatment, therapeutics, combinado con operadores booleanos. En su mayoría, los artículos recuperados consistieron en estudios retrospectivos, transversales, revisiones sistemáticas, consensos, escasos meta-análisis y estudios prospectivos. Fueron descartados reportes de casos así como revisiones de autor. Por parte de los responsables del taller se seleccionaron

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The Significance of Keratinized Mucosa on Implant Health: A Systematic Review

Abstract: Based on current available evidence, a lack of adequate KM around endosseous dental implants is associated with more plaque accumulation, tissue inflammation, MR, and AL.

Cited by 394 publications

References 56 publications

Prevalence and risk factors for peri-implant diseases in Japanese adult dental patients

Prevalence and risk factors for peri-implant diseases in Japanese adult dental patients

Use of a palatal pedicle flap for closure of an oroantral fistula

Taller 5 - Peri-implantitis

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