Influence of soft tissue grafting, orofacial implant position, and angulation on facial hard and soft tissue thickness at immediately inserted and provisionalized implants in the anterior maxilla

Noelken, Robert; Geier, Jannik; Kunkel, Martin; Jepsen, Søren; Wagner, Wilfried

doi:10.1111/cid.12643

Cited by 13 publications

(31 citation statements)

References 30 publications

(59 reference statements)

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“…The reasons for exclusion can be found in Table 1. Thus, 8 articles fully met the selection criteria for qualitative analysis (Bianchi & Sanfilippo, 2004; Cornelini et al, 2008; Migliorati et al, 2015; van Nimwegen et al, 2018; Noelken et al, 2018; Rungcharassaeng et al, 2012; Yoshino et al, 2014; Zuiderveld et al, 2018). Of those, 5 articles were included for quantitative analysis (Bianchi & Sanfilippo, 2004; Migliorati et al, 2015; van Nimwegen et al, 2018; Yoshino et al, 2014; Zuiderveld et al, 2018).…”

Section: Resultsmentioning

confidence: 99%

“…The characteristics of included studies are reported in Table 2. Five articles were RCTs (Bianchi & Sanfilippo, 2004; Migliorati et al, 2015; van Nimwegen et al, 2018; Yoshino et al, 2014; Zuiderveld et al, 2018) and 3 were NRSs (Cornelini et al, 2008; Noelken et al, 2018; Rungcharassaeng et al, 2012). The qualitative analysis comprised data of 409 single immediate implants installed in 388 patients with a mean age ranging from 43 to 53 years (IIP + CTG: 246 implants in 236 patients; IIP: 163 implants in 152 patients).…”

Section: Resultsmentioning

confidence: 99%

“…Five of the studies reported on the gingival phenotype at the surgical site (Migliorati et al, 2015; van Nimwegen et al, 2018; Noelken et al, 2018; Rungcharassaeng et al, 2012; Yoshino et al, 2014; Zuiderveld et al, 2018). Yoshino et al (2014), Migliorati et al (2015), Van Nimwegen et al (2018) and Zuiderveld et al (2018) provided the number of thin phenotype sites per group, accounting for 53.1% and 46.9% of their included patients for IIP +CTG and IIP, respectively.…”

Section: Resultsmentioning

confidence: 99%

“…Yoshino et al (2014), Migliorati et al (2015), Van Nimwegen et al (2018) and Zuiderveld et al (2018) provided the number of thin phenotype sites per group, accounting for 53.1% and 46.9% of their included patients for IIP +CTG and IIP, respectively. Rungcharassaeng et al (2012) and Noelken et al (2018) both included sites with a thin gingival biotype, but provided no numbers per group.…”

Section: Resultsmentioning

confidence: 99%

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Immediate implant placement with or without connective tissue graft: A systematic review and meta‐analysis

Seyssens

Lat

Cosyn

2020

J Clinic Periodontology

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ObjectivesTo assess the effect of connective tissue graft (CTG) in terms of vertical mid‐facial soft tissue change when applied at the buccal aspect following single immediate implant placement (IIP).Materials and methodsTwo independent reviewers conducted an electronic literature search in PubMed, Web of Science, EMBASE and Cochrane databases as well as a manual search to identify eligible clinical studies up to January 2020. Randomized controlled trials (RCTs) and non‐randomized controlled studies (NRSs) comparing IIP with CTG and without CTG over a mean follow‐up of at least 12 months were included for a qualitative analysis. Meta‐analyses were performed on data provided by RCTs.ResultsOut of 1814 records, 5 RCTs and 3 NRSs reported on 409 (IIP + CTG: 246, IIP: 163) immediately installed implants with a mean follow‐up ranging from 12 to 108 months. Only 1 RCT showed low risk of bias. Meta‐analysis revealed a significant difference in terms of vertical mid‐facial soft tissue change between IIP + CTG and IIP pointing to 0.41 mm (95% CI [0.21; 0.61], p < .001) in favour of soft tissue grafting. This outcome was clinically relevant since the risk for ≥1 mm asymmetry in mid‐facial vertical soft tissue level was 12 times (RR 12.10, 95% CI [2.57; 56.91], p = .002) lower following IIP + CTG. Soft tissue grafting also resulted in a trend towards less bleeding on probing (MD 17%, 95% CI [−35%; 1%], p = .06). Meta‐analyses did not reveal significant differences in terms of pink aesthetic score, marginal bone level change and probing depth. Results were inconclusive for horizontal mid‐facial soft tissue change and papilla height change. Based on GRADE guidelines, a moderate recommendation for the use of a CTG following IIP can be made.ConclusionCTG contributes to mid‐facial soft tissue stability following IIP. Therefore, CTG should be considered when elevated risk for mid‐facial recession is expected in the aesthetic zone (thin gingival biotype, <0.5 mm buccal bone thickness).

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Immediate implant placement with or without connective tissue graft: A systematic review and meta‐analysis

Seyssens

Lat

Cosyn

2020

J Clinic Periodontology

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“…A systematic review reported the buccal gingival thickness of the natural teeth with an average of 0.63-1.79 mm (Zweers, Thomas, Slot, Weisgold, & Weijden, 2014). In addition, Noelken have used ultrasonic device to measure the peri-implant soft tissue thickness on the mid-buccal side, which was 1.72, 1.63, 1.52 and 1.66 mm, respectively, at 1/4/6/9 mm apical to the implant shoulder (Noelken, Geier, Kunkel, Jepsen, & Wagner, 2018). These results were basically consistent with the current outcomes.…”

Section: Discussionmentioning

confidence: 99%

The two‐dimensional size of peri‐implant soft tissue in the anterior maxilla and some relevance: A 1‐ to 7‐year cross‐sectional study

Wang

Jin

et al. 2020

J Clinic Periodontology

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Aim This study measured the two‐dimensional size of soft and hard tissues and analysed some relevance between them. Material and methods Ninety‐six maxillary anterior implants with a follow‐up time 1–7 years postoperatively were evaluated. We superimposed the CBCT data of 72 patients with the optical scan data, followed by the measurements of the thickness and the height of soft and bone tissues. The shoulder of the implant was the reference point for all vertical measurements. Results At the level of implant shoulder, the mid‐buccal mean thickness of soft tissue was 1.83 ± 0.76 mm, and on the palatal side, it was 4.00 ± 1.22 mm. The mean height of mid‐buccal and mid‐palatal gingiva was 4.16 ± 1.07 mm and 4.27 ± 1.07 mm. The buccal and palatal vertical bone wall peak was 0.41 ± 0.73 mm and 0.22 ± 0.57 mm coronal to the implant shoulder, and the marginal bone loss was −0.28 ± 0.76 mm and −0.84 ± 1.41 mm. Correlation analysis showed that the soft tissue thickness was negatively correlated with the bone thickness at 0 mm on the buccal side and at 0/2/4 mm on the palatal side apical towards from implant shoulder. The gingival height was significantly positively correlated with bone peak height and marginal bone height. Conclusion Soft and hard tissues were basically negatively correlated in the horizontal direction. Sites with little marginal bone loss or high bone peak positively correlated with higher soft tissue levels.

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Relationship between soft tissue dimensions and tomographic radial root position classification system for immediate implant installation

Rodrigues,

Gluckman,

Pontes

et al. 2024

Odontology

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Influence of soft tissue grafting, orofacial implant position, and angulation on facial hard and soft tissue thickness at immediately inserted and provisionalized implants in the anterior maxilla

Abstract: The results indicate that an initial severe hard tissue defect allows for significant bone regeneration. The facial soft tissue thickness is primarily influenced by the gingival biotype.

Cited by 13 publications

References 30 publications

Immediate implant placement with or without connective tissue graft: A systematic review and meta‐analysis

Immediate implant placement with or without connective tissue graft: A systematic review and meta‐analysis

The two‐dimensional size of peri‐implant soft tissue in the anterior maxilla and some relevance: A 1‐ to 7‐year cross‐sectional study

Relationship between soft tissue dimensions and tomographic radial root position classification system for immediate implant installation

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