Surgical treatment of buccal soft tissue recessions around single implants: 1‐year results from a prospective pilot study

Roccuzzo, Mario; Gaudioso, Luigi; Bunino, Marco; Dalmasso, Paola

doi:10.1111/clr.12149

Cited by 58 publications

(165 citation statements)

References 24 publications

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“…2 The peri-implant mucosa should be augmented to prevent or treat mucosal recession. [3][4][5] The enhancement of soft-tissue thickness (STTh) around dental implants may also be required to avoid shimmering through implant parts, especially those made of titanium. 6 Particularly, in the esthetic zone, CTGs have become the first-line therapy.…”

Section: Introductionmentioning

confidence: 99%

Use of Collagen Matrix for Augmentation of the Peri-implant Soft Tissue at the Time of Immediate Implant Placement

Zafiropoulos¹,

Gordon

2017

The Journal of Contemporary Dental Practice

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Aim:The aim of this study was to determine the treatment outcome of the use of a porcine monolayer collagen matrix (mCM) to augment peri-implant soft tissue in conjunction with immediate implant placement as an alternative to patient's own connective tissue. Materials and methods:A total of 27 implants were placed immediately in 27 patients (14 males and 13 females, with a mean age of 52.2 years) with simultaneous augmentation of the soft tissue by the use of a mCM. The patients were randomly divided into two groups: Group I: An envelope flap was created and mCM was left coronally uncovered, and group II: A coronally repositioned flap was created and the mCM was covered by the mucosa. Soft-tissue thickness (STTh) was measured at the time of surgery (T0) and 6 months postoperatively (T1) using a customized stent. Cone beam computed tomographies (CBCTs) were taken from 12 representative cases at T1. A stringent plaque control regimen was enforced in all the patients during the 6-month observation period.Results: Mean STTh change was similar in both groups (0.7 ± 0.2 and 0.7 ± 0.1 mm in groups I and II respectively). The comparison of STTh between T0 and T1 showed a statistically significant increase of soft tissue in both groups I and II as well as in the total examined population (p < 0.001). The STTh change as well as matrix thickness loss were comparable in both groups (p > 0.05). The evaluation of the CBCTs did not show any signs of resorption of the buccal bone plate. Conclusion:Within the limitations of this study, it could be concluded that the collagen matrix used in conjunction with immediate implant placement leads to an increased

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Section: Introductionmentioning

confidence: 99%

Use of Collagen Matrix for Augmentation of the Peri-implant Soft Tissue at the Time of Immediate Implant Placement

Zafiropoulos¹,

Gordon

2017

The Journal of Contemporary Dental Practice

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“…Although a FGG from the maxillary tuberosity (tFGG) can only be harvested by performing a gingivectomy, a CTG from the tuberosity (tCTG) can be obtained with a distal wedge procedure or by removing a gingival cuff and performing the de‐epithelialization extraorally …”

Section: Harvesting Approaches From Maxillary Tuberositymentioning

confidence: 99%

“…Soft tissue grafts from the tuberosity are increasingly gaining popularity because of their ease in harvesting, the presence of low fatty or glandular tissue, and the richness in connective tissue fibers . Additionally, harvesting from the tuberosity presents minimal risk of intraoperative or postoperative complications, resulting in reduced patient morbidity .…”

Section: Introductionmentioning

confidence: 99%

Is a soft tissue graft harvested from the maxillary tuberosity the approach of choice in an isolated site?

Tavelli

Barootchi

Greenwell

et al. 2019

Journal of Periodontology

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Soft tissue augmentation procedures are becoming more popular these days. Different soft tissue graft harvesting approaches have been proposed. Nonetheless, the location of the donor site (whether anterior‐, lateral‐, superficial‐, deep‐palate or the maxillary tuberosity) can affect the graft shape and its composition. Soft tissue grafts from the maxillary tuberosity are rich in connective tissue fibers, with minimal presence of fatty or glandular components. Clinical, histological, and molecular evidence shows that a soft tissue graft obtained from the maxillary tuberosity has unique properties. In addition, harvesting from this area presents minimal risk for intra‐ or postoperative complications, leading to reduced patient morbidity. The aim of this commentary is to discuss the advantages and disadvantages of harvesting a soft tissue graft from the tuberosity and to compare it with the traditional palatal graft, while highlighting functional, esthetic, and patient‐related outcomes.

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“…The results after a one‐year follow‐up showed 96.3% average coverage with a complete coverage of 75% of peri‐implant sites treated. On the other hand, some authors have considered the possibility of maintaining the existing crown . Burkhardt et al showed only 66% coverage when keeping the crown.…”

Section: Proposed Therapeutic Approachesmentioning

confidence: 99%

“…Burkhardt et al showed only 66% coverage when keeping the crown. However, Rocuzzo et al also proposed removing the crown before surgery and achieved an average coverage of 89.3%, with complete coverage of nine out of 16 peri‐implant treated sites. In the experience of the authors, attempting reconstruction while maintaining the permanent prosthesis complicates the accommodation of the graft and flap repositioning.…”

Section: Proposed Therapeutic Approachesmentioning

confidence: 99%

Therapeutic alternatives for addressing pink esthetic complications in single‐tooth implants: A proposal for a clinical decision tree

Carvalho¹,

Joly

Silva³

et al. 2019

J Esthet Restor Dent

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Objective Esthetic complications in implant therapy today represent a clinical challenge, when the aim is to overcome the sequelae and obtain a pleasing result. The current scientific literature about this topic is scarce and often based on case reports and the personal opinions of clinicians. Clinical considerations The aim of this article is to introduce a decision tree for diagnosis and treatment of complications, focusing on the pink esthetic of single‐tooth implants and based on three diagnostic pillars (3D implant position, peri‐implant hard‐tissue anatomy, and peri‐implant soft‐tissue anatomy). Different shortcomings have been identified for each of the three diagnostic areas. Conclusions Following this tree, the article proposes treatment alternatives including soft‐ and hard‐tissue reconstruction, implant submergence, orthodontic extrusion, and implant extraction in order to help clinicians establish a logical therapeutic sequence. Clinical Significance Guidelines for adequate diagnosis and management of single implant‐supported restorations with compromised esthetics is mandatory when attempt to overcome shortcoming in the pink esthetic result.

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Surgical treatment of buccal soft tissue recessions around single implants: 1‐year results from a prospective pilot study

Cited by 58 publications

References 24 publications

Use of Collagen Matrix for Augmentation of the Peri-implant Soft Tissue at the Time of Immediate Implant Placement

Use of Collagen Matrix for Augmentation of the Peri-implant Soft Tissue at the Time of Immediate Implant Placement

Is a soft tissue graft harvested from the maxillary tuberosity the approach of choice in an isolated site?

Therapeutic alternatives for addressing pink esthetic complications in single‐tooth implants: A proposal for a clinical decision tree

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