Soft tissue management at implant sites

Journal of Clinical Periodontology
Francesco CairoMichele Nieri

Abstract

Dental implants are widely used to replace lost teeth. It was suggested that surgical manipulation/augmentation of peri-implant soft tissue may be beneficial to increase the width/thickness of keratinized tissue (KT) and to enhance aesthetic outcomes of implant therapy. The aim of this paper was to provide a narrative review of the literature concerning soft tissue management at implant sites. Clinical studies were identified with both medline and hand searches. Three topics were considered in this review: (i) the significance of KT at implant sites, (ii) the surgical techniques to increase KT and (iii) soft tissue stability around implants. Several papers concerning soft tissue management at implant sites were identified, mainly expert opinions, case reports and case series. In addition, a systematic review was selected. Generally, the level of evidence was weak. So far, literature analysis showed that (i) the width of KT did not influence the survival rate of dental implants; (ii) there is no evidence to recommend a specific technique to preserve/augment KT; and (iii) factors including bone level, KT and implant features have not been shown to be associated with future mucosal recession around dental implants. Although scient...Continue Reading

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Citations

Oct 19, 2011·The Journal of Oral Implantology·Sean ChungTassos Irinakis
Mar 5, 2013·Journal of Periodontology·Guo-Hao LinHom-Lay Wang
Feb 21, 2014·Journal of Indian Society of Periodontology·Marisa RoncatiFrancesco Carinci
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Jan 5, 2016·Journal of Prosthodontic Research·Ikiru AtsutaKiyoshi Koyano
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Sep 9, 2008·Journal of Clinical Periodontology·R M PalmerUNKNOWN Group B of European Workshop on Periodontology
May 12, 2011·Journal of Clinical Periodontology·Abeer M A BayounisNadir Babay
Nov 19, 2011·Clinical Oral Implants Research·Mónica CáceresPatricio C Smith
Jan 12, 2011·Journal of Clinical Periodontology·German O GallucciUrs C Belser
Oct 15, 2013·Journal of Biomedical Materials Research. Part B, Applied Biomaterials·Carlos BritoGetulio Nogueira-Filho
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Jan 25, 2014·The Journal of Oral Implantology·Esra BaltaciogluYavuz Tolga Korkmaz
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Oct 3, 2014·Case Reports in Dentistry·Armando R Lopes Pereira NetoMarco Aurélio Bianchini
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Apr 30, 2014·Journal of Periodontal & Implant Science·Joo-Yeon SohnChang-Sung Kim
Feb 2, 2018·Journal of Indian Society of Periodontology·Esra BaltacioğluErkan Sukuroglu
Aug 14, 2019·Periodontology 2000·Dimitris N TatakisAndreas O Parashis
Nov 16, 2019·Clinical Implant Dentistry and Related Research·Francesco CairoLeandro Chambrone
Nov 3, 2017·Journal of Periodontal & Implant Science·EnFeng GaoJong-Ho Lee
Nov 4, 2016·International Journal of Implant Dentistry·Masahiro WadaYoshinobu Maeda

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