Role of thin gingival phenotype and inadequate keratinized mucosa width (&lt;2 mm) as risk indicators for peri‐implantitis and peri‐implant mucositis

Gharpure, Amit S; Latimer, Jessica M; Aljofi, Faisal E.; Kahng, Justin H; Daubert, Diane M.

doi:10.1002/jper.20-0792

Cited by 36 publications

(57 citation statements)

References 47 publications

(63 reference statements)

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“…Peri-implant keratinized mucosa has been linked to lower patient esthetic satisfaction and a thicker mucosa can prevent mucosal recession and promote greater stability of interproximal marginal bone levels. Gharpure et al [30] concluded that thin gingival phenotype and inadequate keratinized mucosa width (<2 mm) could be risk indicators for peri-implant disease and pain/discomfort during brushing.…”

Section: Discussionmentioning

confidence: 99%

Retrospective Study of the Association between Peri-Implantitis and Keratinized Mucosa

et al. 2022

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1. Background: Peri-implantitis affects a high percentage of patients treated with dental implants. Among the risk factors that can cause this pathology, limited evidence exists regarding the absence of keratinized mucosa. The main objective of this study was to compare the amount of keratinized mucosa around healthy implants versus implants in patients with peri-implantitis, in order to analyze its influence on esthetics and the development of this pathology, and to study the possible influence of keratinized mucosa on various clinical parameters. 2. Methods: A retrospective case-control study was carried out in which 203 implants were evaluated, 103 of which presented a healthy peri-implant state, versus 100 which had peri-implantitis. The following elements were recorded: keratinized mucosa, recession, plaque index, bleeding, suppuration, probing depth, and bone level. 3. Results: Keratinized mucosa was present in 51% of the peri-implantitis group versus 97.1% of the healthy implants. In implants without keratinized mucosa, both recession and plaque index, bleeding on probing (96.2%), suppuration (57.7%), mean probing depth and bone level were higher. Implants without keratinized mucosa presented worse esthetics. 4. Conclusions: Absence of Keratinized mucosa around dental implants seems to be associated with the appearance of peri-implantitis modifying certain clinical parameters: there is a greater probability of recession, bleeding, suppuration, deficient hygiene, greater probing depth and greater bone loss in implants without keratinized mucosa.

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Section: Discussionmentioning

confidence: 99%

Retrospective Study of the Association between Peri-Implantitis and Keratinized Mucosa

et al. 2022

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“…28 More recent data demonstrated that implant sites with thin soft-tissue phenotypes (ie, a reduced horizontal thickness) were more frequently diagnosed with peri-implant mucositis and peri-implantitis compared with control sites (ie, implants with a thick soft-tissue phenotype). 32 The beneficial effect of simultaneous soft-tissue volume grafting employing autogenous connective tissue grafts on the maintenance of peri-implant tissue health and stability has also recently been demonstrated in a cross-sectional analysis. 33 These preliminary findings imply that the vertical and horizontal dimensions of the mucosa may be regarded as crucial structural components for the maintenance of peri-implant tissue health.…”

Section: The Emerg Ing Rele Van Ce Of Peri -Impl Ant Sof T-tissue Dim...mentioning

confidence: 98%

“…In contrast, vertical soft‐tissue thickening resulted in a reduced marginal bone loss over time 28 . More recent data demonstrated that implant sites with thin soft‐tissue phenotypes (ie, a reduced horizontal thickness) were more frequently diagnosed with peri‐implant mucositis and peri‐implantitis compared with control sites (ie, implants with a thick soft‐tissue phenotype) 32 . The beneficial effect of simultaneous soft‐tissue volume grafting employing autogenous connective tissue grafts on the maintenance of peri‐implant tissue health and stability has also recently been demonstrated in a cross‐sectional analysis 33 .…”

Section: The Emerging Relevance Of Peri‐implant Soft‐tissue Dimensionsmentioning

confidence: 99%

It is all about peri‐implant tissue health

Schwarz

Ramanauskaitė

2022

Periodontology 2000

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Current treatment protocols for the rehabilitation of partially and fully edentulous patients by means of implant-supported restorations are associated with high survival rates, thus representing a predictable alternative to conventional concepts. 1,2 Though survival is a robust outcome to assess the fundamental basis for implant function, it clearly ignores the biological and esthetic status of the surrounding tissues. Similar limitations are also related to the survival assessment of implant-supported prostheses, which in turn do not account for prosthetic complications.Consequently, the term "survival" has been supplemented with "success" to allow for a more holistic definition of outcomes in implant dentistry and a more objective assessment on whether implant-supported restorations are within a predefined range of relevant clinical and radiographic outcome measures. The definition of "implant success" has evolved over the years and was ultimately refined during the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions by the characterization of peri-implant health. 3,4 Healthy peri-implant tissues have become synonymous with implant success. This is clinically determined by the "absence of erythema, bleeding on probing, swelling and suppuration," without considering a specific range of probing depths.

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“…Patients with TNP exhibited a 27% occurrence of PI compared to the group exhibiting thicker KT of 11.3%. The prevalence ratio of 3.18 between TNP and inadequate KT indicates that "thin tissue phenotype and inadequate keratinized tissue are highly associated" and when both factors are present the incidence of PI may be increased (45).…”

Section: Tissue Phenotype and Ktmentioning

confidence: 99%

Dental implant risk factors for peri-implant disease: a narrative review

Alterman¹,

Jensen²,

Glick³

et al. 2023

Front Oral Maxillofac Med

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Background and Objective: Dental implants have become a leading method to rehabilitate areas of missing teeth. Their success and survival rates, as well as their supporting tissues health, are influenced by various intrinsic and exogenous factors. Each year the total number of implants in function rises with more patients becoming at risk for peri-implantitis (PI). Various treatment modalities have been suggested for PI, varying from minimally invasive methods to extensive regenerative surgeries. In advanced stages of PI, implant removal and reimplantation may be required. There is little long-term data regarding the effectiveness of treatment as counter measure to assure the long-term effectiveness of dental implant therapy. It remains the responsibility of the individual clinician to understand the risk factors involved in development of PI and incorporate mitigation strategies as part of overall patient treatment. The aim of the manuscript is to review the scientific literature regarding risk factors for peri-implant disease (PID). Methods: A comprehensive review of the English literature (published between 2005 and May 2021) was conducted in MEDLINE, PubMed, Cochrane and Google Scholar databases on intra-oral and extra-oral risk factors.

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Role of thin gingival phenotype and inadequate keratinized mucosa width (<2 mm) as risk indicators for peri‐implantitis and peri‐implant mucositis

Cited by 36 publications

References 47 publications

Retrospective Study of the Association between Peri-Implantitis and Keratinized Mucosa

Retrospective Study of the Association between Peri-Implantitis and Keratinized Mucosa

It is all about peri‐implant tissue health

Dental implant risk factors for peri-implant disease: a narrative review

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