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Effect of peri‐implant mucosal thickness on esthetic outcomes and the efficacy of soft tissue augmentation procedures: Consensus report of group 2 of the SEPA/DGI/OF workshop

软组织 医学 植入 牙科 临床试验 随机对照试验 结缔组织 外科 病理
作者
Ronald E. Jung,Kathrin Becker,Stefan P. Bienz,Christer Dahlin,Nikolaos Donos,Christian Hammächer,Gerhard Iglhaut,Antonio Liñares,Alberto Ortiz‐Vigón,Nerea Sánchez,Ignacio Sanz‐Sánchez,Daniel S. Thoma,Cristina Vallés,Dietmar Weng,José Nart
出处
期刊:Clinical Oral Implants Research [Wiley]
卷期号:33 (S23): 100-108 被引量:18
标识
DOI:10.1111/clr.13955
摘要

The aim of this study was to comprehensively assess the literature in terms of the effect of peri-implant mucosal thickness on esthetic outcomes and the efficacy of soft tissue augmentation procedures to increase the mucosal thickness with autogenous grafts or soft tissue substitutes.Two systematic reviews (SR) were performed prior to the consensus meeting to assess the following questions. Review 1, focused question: In systemically healthy patients with an implant-supported fixed prosthesis, what is the influence of thin as compared to thick peri-implant mucosa on esthetic outcomes? Review 2, focused question 1: In systemically healthy humans with at least one dental implant (immediate or staged implant), what is the efficacy of connective tissue graft (CTG), as compared to absence of a soft tissue grafting procedure, in terms of gain in peri-implant soft tissue thickness (STT) reported by randomized controlled clinical trials (RCTs) or controlled clinical trials (CCTs)? Review 2, focused question 2: In systemically healthy humans with at least one dental implant (immediate or staged implant), what is the efficacy of CTG, as compared to soft tissue substitutes, in terms of gain in peri-implant STT reported by RCTs or CCTs? The outcomes of the two SRs, the consensus statements, the clinical implications, and the research recommendations were discussed and subsequently approved at the consensus meeting during the group and plenary sessions.There was a tendency of superior esthetic outcomes in the presence of a thick mucosa. The connective tissue graft remains the standard of care in terms of increasing mucosa thickness.
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