Effect of peri-implant mucosal thickness on esthetic outcomes and the efficacy of soft tissue augmentation procedures: Consensus report of group 2 of the SEPA/DGI/OF workshop.

Autor: Jung RE; Clinic of Reconstructive Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland., Becker K; Department of Orthodontics, Universitätsklinikum Düsseldorf, Düsseldorf, Germany., Bienz SP; Clinic of Reconstructive Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland., Dahlin C; Department of Biomaterials, Institute for Surgical Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden., Donos N; Centre for Oral Clinical Research, Barts & The London School of Medicine & Dentistry, Queen Mary University of London, London, UK., Hammächer C; Private Practice, Aachen, Germany., Iglhaut G; Department of Oral and Craniomaxillofacial Surgery, Translational Implantology, Center for Dental Medicine, University Medical Center of Freiburg, Freiburg, Germany.; Private Center of Oral Surgery, Memmingen, Germany., Liñares A; Periodontology Unit, Faculty of Odontology, University of Santiago de Compostela & Medical-Surgical Dentistry Research Group, Health Research Institute of Santiago de Compostela, Santiago de Compostela, Spain., Ortiz-Vigón A; Section of Graduate Periodontology, University Complutense, Madrid, Spain., Sanchez N; Section of Graduate Periodontology, University Complutense, Madrid, Spain.; ETEP (Etiology and Therapy of Periodontal and Peri-implant Diseases) Research Group, School of Dentistry, University Complutense, Madrid, Spain., Sanz-Sánchez I; Section of Graduate Periodontology, University Complutense, Madrid, Spain.; ETEP (Etiology and Therapy of Periodontal and Peri-implant Diseases) Research Group, School of Dentistry, University Complutense, Madrid, Spain., Thoma DS; Clinic of Reconstructive Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland., Valles C; Department of Periodontology, Universitat Internacional de Catalunya, Barcelona, Spain., Weng D; Department of Prosthodontics, Propaedeutics and Dental Materials, School of Dentistry, Christian-Albrechts University, Kiel, Germany., Nart J; Department of Periodontology, Universitat Internacional de Catalunya, Barcelona, Spain.
Jazyk: angličtina
Zdroj: Clinical oral implants research [Clin Oral Implants Res] 2022 Jun; Vol. 33 Suppl 23, pp. 100-108.
DOI: 10.1111/clr.13955
Abstrakt: Objectives: The aim of this study was to comprehensively assess the literature in terms of the effect of peri-implant mucosal thickness on esthetic outcomes and the efficacy of soft tissue augmentation procedures to increase the mucosal thickness with autogenous grafts or soft tissue substitutes.
Material and Methods: Two systematic reviews (SR) were performed prior to the consensus meeting to assess the following questions. Review 1, focused question: In systemically healthy patients with an implant-supported fixed prosthesis, what is the influence of thin as compared to thick peri-implant mucosa on esthetic outcomes? Review 2, focused question 1: In systemically healthy humans with at least one dental implant (immediate or staged implant), what is the efficacy of connective tissue graft (CTG), as compared to absence of a soft tissue grafting procedure, in terms of gain in peri-implant soft tissue thickness (STT) reported by randomized controlled clinical trials (RCTs) or controlled clinical trials (CCTs)? Review 2, focused question 2: In systemically healthy humans with at least one dental implant (immediate or staged implant), what is the efficacy of CTG, as compared to soft tissue substitutes, in terms of gain in peri-implant STT reported by RCTs or CCTs? The outcomes of the two SRs, the consensus statements, the clinical implications, and the research recommendations were discussed and subsequently approved at the consensus meeting during the group and plenary sessions.
Conclusions: There was a tendency of superior esthetic outcomes in the presence of a thick mucosa. The connective tissue graft remains the standard of care in terms of increasing mucosa thickness.
(© 2022 The Authors. Clinical Oral Implants Research published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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