Article
Chemistry, Multidisciplinary
Norberto Quispe-Lopez, Carmen Garcia-Faria, Jesus Mena-alvarez, Yasmina Guadilla, Pablo Garrido Martinez, Javier Montero
Summary: The study demonstrated successful treatment of peri-implant soft tissue dehiscence in the esthetic area using a combination of connective tissue graft and palatal flap technique, resulting in improved keratinized mucosa quantity and aesthetic outcomes.
APPLIED SCIENCES-BASEL
(2021)
Article
Dentistry, Oral Surgery & Medicine
Lorenzo Tavelli, Shayan Barootchi, Jad Majzoub, Hsun-Liang Chan, Martina Stefanini, Giovanni Zucchelli, Oliver D. Kripfgans, Hom-Lay Wang, Istvan A. Urban
Summary: Peri-implant soft tissue dehiscence (PSTD) is common in the esthetic zone. Risk indicators for this condition include the presence of an adjacent implant, longer time in function of the implant, higher buccal bone distance (BBD), lower keratinized mucosa width (KMW), and reduced mucosal thickness (MT).
JOURNAL OF PERIODONTOLOGY
(2022)
Review
Engineering, Biomedical
Kai Tang, Meng-Lin Luo, Wei Zhou, Li-Na Niu, Ji-Hua Chen, Fu Wang
Summary: Stable soft tissue integration is crucial for long-term implant stability, preventing peri-implantitis, and protecting underlying bone tissue. Zirconia abutments are preferred over titanium for aesthetic restoration, but achieving soft tissue attachment remains challenging. This review discusses advances in zirconia surface treatment and structural design that can enhance soft tissue integration.
BIOACTIVE MATERIALS
(2023)
Article
Dentistry, Oral Surgery & Medicine
Ronald E. Jung, Kathrin Becker, Stefan P. Bienz, Christer Dahlin, Nikos Donos, Christian Hammaecher, Gerhard Iglhaut, Antonio Linares, Alberto Ortiz-Vigon, Nerea Sanchez, Ignacio Sanz-Sanchez, Daniel S. Thoma, Cristina Valles, Dietmar Weng, Jose Nart
Summary: The aim of this study was to assess the effect of peri-implant mucosal thickness on esthetic outcomes and the efficacy of soft tissue augmentation procedures. The results showed that thick mucosa is associated with better esthetic outcomes and that connective tissue grafts are the standard treatment for increasing mucosa thickness.
CLINICAL ORAL IMPLANTS RESEARCH
(2022)
Review
Dentistry, Oral Surgery & Medicine
Lorenzo Tavelli, Shayan Barootchi, Gustavo Avila-Ortiz, Istvan A. Urban, William Giannobile, Hom-Lay Wang
Summary: This study analyzed the efficacy of soft tissue augmentation procedures aimed at modifying the peri-implant soft tissue phenotype and their impact on peri-implant health. Results showed that using bilaminar techniques combined with soft tissue grafts resulted in a significant increase in mucosal thickness, while apically positioned flap techniques combined with free gingival grafts showed a significant increase in keratinized mucosa width.
JOURNAL OF PERIODONTOLOGY
(2021)
Review
Dentistry, Oral Surgery & Medicine
Maria Elisa Galarraga-Vinueza, Lorenzo Tavelli
Summary: This article reviews the importance of soft tissue grafting in preventing and treating peri-implant diseases. It explores the inflammatory mechanisms in the peri-implant soft tissue, examines the impact of different structural components on peri-implant health, and evaluates the clinical indications and expected outcomes of soft tissue augmentation procedures. The review provides valuable insights and recommendations for the comprehensive treatment of peri-implant disease.
CLINICAL IMPLANT DENTISTRY AND RELATED RESEARCH
(2023)
Review
Dentistry, Oral Surgery & Medicine
Martina Stefanini, Matteo Marzadori, Matteo Sangiorgi, Alexandra Rendon, Tiziano Testori, Giovanni Zucchelli
Summary: This paper discusses the possible factors contributing to inadequate quality, quantity, or aesthetics of peri-implant soft tissues and provides clinical insights on surgical soft tissue management to prevent or treat complications that may affect the status of the peri-implant soft tissues. Mastering the learning curve and understanding the limitations of each technique are crucial to avoid treatment failures and patient dissatisfaction.
PERIODONTOLOGY 2000
(2023)
Article
Engineering, Biomedical
Yosuke Asami, Hodaka Sasaki, Atsuro Harada, Kiyotoshi Hanazawa, Takafumi Kobayashi, Gentaro Mori, Yasutomo Yajima
Summary: During wound healing, the gene expression of PIST-specific inflammatory markers was higher in PIST compared to OMT, but there were no significant differences in the expression of standard inflammatory markers. The molecule CXCL2 was locally expressed at the implant-connective tissue interface, with immune cells closely matching its expression pattern. In PIST, seven of the PIST-specific inflammatory markers were specifically and strongly expressed during wound healing and their expression continued until the end of healing, establishing a unique defense mechanism not seen in OMT or PT.
JOURNAL OF BIOMEDICAL MATERIALS RESEARCH PART A
(2022)
Article
Dentistry, Oral Surgery & Medicine
Andrea Roccuzzo, Leonardo Mancini, Crystal Marruganti, Guglielmo Ramieri, Giovanni E. Salvi, Anton Sculean, Mario Roccuzzo
Summary: This study evaluated the 10-year clinical outcomes of surgical treatment for shallow isolated peri-implant soft-tissue dehiscences at single tissue level dental implants. The results showed that the proposed surgical technique, combined with individualized supportive peri-implant care, achieved positive and maintained results for up to 10 years.
CLINICAL IMPLANT DENTISTRY AND RELATED RESEARCH
(2023)
Article
Dentistry, Oral Surgery & Medicine
Arndt Happe, Alexander Schmidt, Joerg Neugebauer
Summary: This study evaluated the esthetic outcome of peri-implant mucosa following extraction and immediate implant placement with pADM or CTG. The results showed no significant difference in color difference and Pink Esthetic Score between the pADM and CTG groups.
JOURNAL OF ESTHETIC AND RESTORATIVE DENTISTRY
(2022)
Article
Chemistry, Multidisciplinary
Junyu Hou, Zuohui Xiao, Zengqian Liu, Hewei Zhao, Yankun Zhu, Lin Guo, Zhefeng Zhang, Robert O. Ritchie, Yan Wei, Xuliang Deng
Summary: The development of a bioinspired peri-implant ligament with enhanced osteointegration and energy-dissipation capabilities presents new possibilities for creating high-performance implanted materials with increased lifespans. This artificial ligament, based on a polymer-infiltrated, amorphous, titania nanotube array, increases bone-implant contact and reduces effective stress transfer from implant to peri-implant bone, achieving results not previously seen with titanium implants.
ADVANCED MATERIALS
(2021)
Article
Medicine, General & Internal
Diego Lops, Eugenio Romeo, Stefano Calza, Antonino Palazzolo, Lorenzo Viviani, Stefano Salgarello, Barbara Buffoli, Magda Mensi
Summary: The prosthetic emergence profile angle does not seem to have a direct impact on peri-implant soft tissue health. Therefore, providing a proper emergence profile angle is crucial for implant-supported restorations in the anterior areas.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Dentistry, Oral Surgery & Medicine
Cho-Ying Lin, Pe-Yi Kuo, Meng-Yao Chiu, Zhao-Zhao Chen, Hom-Lay Wang
Summary: This study analyzed the tissue alterations around implants following soft tissue phenotype modification during implant uncovering surgery. The results showed that soft tissue phenotype modification resulted in favorable clinical outcomes, with stable mucosal tissue thickness and minimal recession. The pouch roll technique may influence the restorative design.
CLINICAL ORAL INVESTIGATIONS
(2023)
Article
Dentistry, Oral Surgery & Medicine
Shu-Jiao Qian, Yi-ping Pu, Xiao-Meng Zhang, Xin-yu Wu, Bei-lei Liu, Hong-Chang Lai, Jun-Yu Shi
Summary: This study assessed the clinical, radiographic, and esthetic outcomes of immediate implant placement with buccal bone dehiscence in the anterior maxilla. Guided bone regeneration with a papilla preservation flap and simultaneous connective tissue grafting were performed. The results showed stable mid-facial mucosal level and excellent esthetic outcomes at 1 year, with favorable buccal bone thickness obtained. Further studies are needed to evaluate long-term tissue alterations.
CLINICAL IMPLANT DENTISTRY AND RELATED RESEARCH
(2023)
Review
Dentistry, Oral Surgery & Medicine
Luca Fiorillo, Marco Cicciu, Tolga Fikret Tozum, Cesare D'Amico, Giacomo Oteri, Gabriele Cervino
Summary: The use of bisphosphonate drugs is not an absolute contraindication to implant therapy, as adequate pharmacological prophylaxis and protocols can reduce the risk of implant failures. While implant rehabilitation with bisphosphonate drugs association may have better outcomes in some cases, further research is needed to fully clarify the situation.