Classification of facial peri-implant soft tissue dehiscence/deficiencies at single implant sites in the esthetic zone
| Autor: | Giovanni Zucchelli, Guido Gori, Hom-Lay Wang, Shayan Barootchi, Martina Stefanini, Lorenzo Tavelli, Claudio Mazzotti |
|---|---|
| Přispěvatelé: | Zucchelli G., Tavelli L., Stefanini M., Barootchi S., Mazzotti C., Gori G., Wang H.-L. |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
0301 basic medicine
medicine.medical_treatment Dentistry Dehiscence Esthetics Dental Crown (dentistry) 03 medical and health sciences 0302 clinical medicine Dental Implants Single-Tooth implant-supported dental prosthesis medicine Dental implant connective tissue Tooth Crown dental implant Crowns business.industry Single implant Dental Implantation Endosseous Soft tissue 030206 dentistry 030104 developmental biology Treatment Outcome classification Periodontics buccal mucosa Implant Natural tooth Dental Prosthesis Implant-Supported esthetic business Gingival margin |
| Popis: | Background The incidence of a peri-implant soft tissue dehiscence/deficiency (PSTD) is not a rare finding. Despite multiple previous attempts aimed at correcting the PSTDs, a classification of these conditions has not yet been proposed. This lack in the literature may also lead to discrepancies in the reported treatment outcomes and thus misinform the clinician or the readers. The aim of the present article was therefore to present a classification of peri-implant PSTD at a single implant site. Methods Four classes of PSTDs were discussed based on the position of the gingival margin of the implant-supported crown in relation to the homologous natural tooth. In addition, the bucco-lingual position of the implant head was also taken into consideration. Each class was further subdivided based on the height of the anatomical papillae. Results Subsequently, for each respective category a surgical approach (including bilaminar techniques, the combined prosthetic-surgical approach or soft tissue augmentation with a submerged healing) was also suggested. Conclusion This paper provides a new classification system for describing PSTDs at single implant sites, with the appropriate recommended treatment protocol. |
| Databáze: | OpenAIRE |
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