Soft tissue grafting to improve the attached mucosa at dental implants: A review of the literature and proposal of a decision tree

Quintessence International

Volumn 46, Issue 6, 2015, Pages 499-510

  Bassetti, Mario ^a   Kaufmann, Regula ^b   Salvi, Giovanni E ^a   Sculean, Anton ^a   Bassetti, Renzo ^c  

^a UNIVERSITY OF BERN   (Switzerland)

^b Private Practice in Dermatology   (Switzerland)

^c LUZERNER KANTONSSPITAL   (Switzerland)

Author keywords

Peri implant keratinized attached mucosa; Peri implantitis; Soft tissue recession

Indexed keywords

TOOTH IMPLANT;

CONNECTIVE TISSUE; DECISION TREE; GINGIVA; GINGIVOPLASTY; HUMAN; MOUTH MUCOSA; PROCEDURES; SURGICAL FLAPS; TOOTH IMPLANT; TOOTH IMPLANTATION; TRANSPLANTATION; VESTIBULOPLASTY;

CONNECTIVE TISSUE; DECISION TREES; DENTAL IMPLANTATION, ENDOSSEOUS; DENTAL IMPLANTS; GINGIVA; GINGIVOPLASTY; HUMANS; MOUTH MUCOSA; SURGICAL FLAPS; VESTIBULOPLASTY;

EID: 84959147588     PISSN: 00336572     EISSN: None     Source Type: Journal    
DOI: 10.3290/j.qi.a33688     Document Type: Article

References (69)

1. Bowers GM. A study of width of attached gingiva. J Periodontol 1963;34: 201-209
2. Berglundh T, Lindhe J, Ericsson I, Marinello CP, Liljenberg B, Thomsen P. The soft tissue barrier at implants and teeth. Clin Oral Implants Res 1991;2:81-90
3. Listgarten MA, Lang NP, Schroeder HE, Schroeder A. Periodontal tissues and their counterparts around endosseous implants. Clin Oral Implants Res 1991;2:1-19
4. Moon IS, Berglundh T, Abrahamsson I, Linder E, Lindhe J. The barrier between the keratinized mucosa and the dental implant. An experimental study in the dog. J Clin Periodontol 1999;26:658-663
5. Ikeda H, Shiraiwa M, Yamaza T, et al. Difference in penetration of horseradish peroxidase tracer as a foreign substance into the peri-implant or junctional epithelium of rat gingivae. Clin Oral Implants Res 2002;13:243-251
6. Berglundh T, Lindhe J, Jonsson K, Ericsson I. The topography of the vascular systems in the periodontal and peri-implant tissues in the dog. J Clin Periodontol 1994;21:189-193
7. Karring T, Ostergaard E, Loe H. Conservation of tissue specificity after heterotopic transplantation of gingiva and alveolar mucosa. J Periodontal Res 1971;6:282-293
8. Zuhr O, Hürzeler M (eds). Plastisch-ästhetische Parodontal-und Implantatchirurgie. Berlin: Quintessenz Verlag, 2011
9. Karring T, Lang NP, Loe H. The role of gingival connective tissue in determining epithelial differentiation. J Periodontal Res 1975;10:1-11
10. Sculean A, Gruber R, Bosshardt DD. Soft tissue wound healing around teeth and dental implants. J Clin Periodontol 2014;41(Suppl 15):S6-S22
11. Lang NP, Loe H. The relationship between the width of keratinized gingiva and gingival health. J Periodontol 1972;43:623-627
12. Miyasato M, Crigger M, Egelberg J. Gingival condition in areas of minimal and appreciable width of keratinized gingiva. J Clin Periodontol 1977;4:200-209
13. Kennedy JE, Bird WC, Palcanis KG, Dorfman HS. A longitudinal evaluation of varying widths of attached gingiva. J Clin Periodontol 1985;12:667-675
14. Wennstrom J. Regeneration of gingiva following surgical excision. A clinical study. J Clin Periodontol 1983;10:287-297
15. Wennstrom JL. Lack of association between width of attached gingiva and development of soft tissue recession. A 5-year longitudinal study. J Clin Periodontol 1987;14:181-184
16. Adell R, Lekholm U, Rockler B, et al. Marginal tissue reactions at osseointegrated titanium fixtures (I). A 3-year longitudinal prospective study. Int J Oral Maxillofac Surg 1986;15:39-52
17. Bengazi F, Wennstrom JL, Lekholm U. Recession of the soft tissue margin at oral implants. A 2-year longitudinal prospective study. Clin Oral Implants Res 1996;7:303-310
18. Block MS, Gardiner D, Kent JN, Misiek DJ, Finger IM, Guerra L. Hydroxyapatitecoated cylindrical implants in the posterior mandible: 10-year observations. Int J Oral Maxillofac Implants 1996;11:626-633
19. Esposito M, Grusovin MG, Maghaireh H, Coulthard P, Worthington HV. Interventions for replacing missing teeth: management of soft tissues for dental implants. Cochrane Database Syst Rev 2007:CD006697
20. Heitz-Mayfield LJ. Peri-implant diseases: diagnosis and risk indicators. J Clin Periodontol 2008;35:292-304
21. Lekholm U, Adell R, Lindhe J, et al. Marginal tissue reactions at osseointegrated titanium fixtures. (II) A cross-sectional retrospective study. Int J Oral Maxillofac Surg 1986;15:53-61
22. Roos-Jansaker AM, Renvert H, Lindahl C, Renvert S. Nine-to fourteen-year follow-up of implant treatment. Part III: factors associated with peri-implant lesions. J Clin Periodontol 2006;33:296-301
23. Schou S, Holmstrup P, Hjorting-Hansen E, Lang NP. Plaque-induced marginal tissue reactions of osseointegrated oral implants: a review of the literature. Clin Oral Implants Res 1992;3:149-161
24. Strub JR, Gaberthuel TW, Grunder U. The role of attached gingiva in the health of peri-implant tissue in dogs. 1. Clinical findings. Int J Periodontics Restorative Dent 1991;11:317-333
25. Warrer K, Buser D, Lang NP, Karring T. Plaque-induced peri-implantitis in the presence or absence of keratinized mucosa. An experimental study in monkeys. Clin Oral Implants Res 1995;6:131-138
26. Wennström JL, Bengazi F, Lekholm U. The influence of the masticatory mucosa on the peri-implant soft tissue condition. Clin Oral Implants Res 1994;5:1-8
27. Wennström JL, Derks J. Is there a need for keratinized mucosa around implants to maintain health and tissue stability? Clin Oral Implants Res 2012;23(Suppl 6):136-146
28. Zarb GA, Schmitt A. The longitudinal clinical effectiveness of osseointegrated dental implants: the Toronto study. Part III: Problems and complications encountered. J Prosthet Dent 1990;64:185-194
29. Adibrad M, Shahabuei M, Sahabi M. Significance of the width of keratinized mucosa on the health status of the supporting tissue around implants supporting overdentures. J Oral Implantol 2009;35:232-237
30. Artzi Z, Carmeli G, Kozlovsky A. A distinguishable observation between survival and success rate outcome of hydroxyapatite-coated implants in 5-10 years in function. Clin Oral Implants Res 2006;17:85-93
31. Chung DM, Oh TJ, Shotwell JL, Misch CE, Wang HL. Significance of keratinized mucosa in maintenance of dental implants with different surfaces. J Periodontol 2006;77:1410-1420
32. Crespi R, Cappare P, Gherlone E. A 4-year evaluation of the peri-implant parameters of immediately loaded implants placed in fresh extraction sockets. J Periodontol 2010;81:1629-1634
33. Schrott AR, Jimenez M, Hwang JW, Fiorellini J, Weber HP. Five-year evaluation of the influence of keratinized mucosa on peri-implant soft-tissue health and stability around implants supporting full-arch mandibular fixed prostheses. Clin Oral Implants Res 2009;20:1170-1177
34. Bouri A Jr, Bissada N, Al-Zahrani MS, Faddoul F, Nouneh I. Width of keratinized gingiva and the health status of the supporting tissues around dental implants. Int J Oral Maxillofac Implants 2008;23:323-326
35. Boynuegri D, Nemli SK, Kasko YA. Significance of keratinized mucosa around dental implants: a prospective comparative study. Clin Oral Implants Res 2013;24:928-933
36. Kim BS, Kim YK, Yun PY, et al. Evaluation of peri-implant tissue response according to the presence of keratinized mucosa. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;107:e24-e28
37. Malo P, Rigolizzo M, Nobre M, Lopes A, Agliardi E. Clinical outcomes in the presence and absence of keratinized mucosa in mandibular guided implant surgeries: a pilot study with a proposal for the modification of the technique. Quintessence Int 2013;44:149-157
38. Zigdon H, Machtei EE. The dimensions of keratinized mucosa around implants affect clinical and immunological parameters. Clin Oral Implants Res 2008;19:387-392
39. Frisch E, Ziebolz D, Vach K, Ratka-Kruger P. The effect of keratinized mucosa width on peri-implant outcome under supportive postimplant therapy. Clin Implant Dent Relat Res 2015;17(Suppl 1):e236-e234
40. Greenstein G, Cavallaro J. The clinical significance of keratinized gingiva around dental implants. Compend Contin Educ Dent 2011;32:24-31
41. Lin GH, Chan HL, Wang HL. The significance of keratinized mucosa on implant health: a systematic review. J Periodontol 2013; 84:1755-1767
42. Brito C, Tenenbaum HC, Wong BK, Schmitt C, Nogueira-Filho G. Is keratinized mucosa indispensable to maintain peri-implant health? A systematic review of the literature. J Biomed Mater Res B Appl B Biomater 2014;102:643-650
43. Gobbato L, Avila-Ortiz G, Sohrabi K, Wang CW, Karimbux N. The effect of keratinized mucosa width on peri-implant health: a systematic review. Int J Oral Maxillofac Implants 2013;28:1536-1545
44. Zitzmann NU, Berglundh T, Marinello CP, Lindhe J. Experimental peri-implant mucositis in man. J Clin Periodontol 2001;28:517-523
45. Lindhe J, Berglundh T, Ericsson I, Liljenberg B, Marinello C. Experimental breakdown of peri-implant and periodontal tissues. A study in the beagle dog. Clin Oral Implants Res 1992;3:9-16
46. Araujo MG, Lindhe J. Ridge alterations following tooth extraction with and without flap elevation: an experimental study in the dog. Clin Oral Implants Res 2009;20:545-549
47. Araujo MG, Sukekava F, Wennstrom JL, Lindhe J. Ridge alterations following implant placement in fresh extraction sockets: an experimental study in the dog. J Clin Periodontol 2005;32:645-652
48. Cardaropoli G, Araujo M, Lindhe J. Dynamics of bone tissue formation in tooth extraction sites. An experimental study in dogs. J Clin Periodontol 2003;30:809-818
49. Dello Russo NM. Gingival autografts as an adjunct to removable partial dentures. J Am Dent Assoc 1982;104:179-181
50. Landsberg CJ. Socket seal surgery combined with immediate implant placement: a novel approach for single-tooth replacement. Int J Periodontics Restorative Dent 1997;17:140-149
51. Belser UC, Buser D, Hess D, Schmid B, Bernard JP, Lang NP. Aesthetic implant restorations in partially edentulous patients: a critical appraisal. Periodontol 2000 1998;17:132-150
52. Stimmelmayr M, Allen EP, Reichert TE, Iglhaut G. Use of a combination epithelized-subepithelial connective tissue graft for closure and soft tissue augmentation of an extraction site following ridge preservation or implant placement: description of a technique. Int J Periodontics Restorative Dent 2010;30:375-381
53. Basegmez C, Ersanli S, Demirel K, Bolukbasi N, Yalcin S. The comparison of two techniques to increase the amount of peri-implant attached mucosa: free gingival grafts versus vestibuloplasty. One-year results from a randomised controlled trial. Eur J Oral Implantol 2012;5:139-145
54. Burkhardt R, Joss A, Lang NP. Soft tissue dehiscence coverage around endosseous implants: a prospective cohort study. Clin Oral Implants Res 2008;19:451-457
55. Roccuzzo M, Gaudioso L, Bunino M, Dalmasso P. Surgical treatment of buccal soft tissue recessions around single implants: 1-year results from a prospective pilot study. Clin Oral Implants Res 2014;25:641-646
56. Zucchelli G, Mazzotti C, Mounssif I, Mele M, Stefanini M, Montebugnoli L. A novel surgical-prosthetic approach for soft tissue dehiscence coverage around single implant. Clin Oral Implants Res 2013;24:957-962
57. Nabers JM. Free gingival grafts. Periodontics 1966;4:243-245
58. Sullivan HC, Atkins JH. Free autogenous gingival grafts. I. Principles of successful grafting. Periodontics 1968;6:121-129
59. Agudio G, Nieri M, Rotundo R, Cortellini P, Pini Prato G. Free gingival grafts to increase keratinized tissue: a retrospective long-term evaluation (10 to 25 years) of outcomes. J Periodontol 2008;79:587-594
60. Thoma DS, Buranawat B, Hammerle CH, Held U, Jung RE. Efficacy of soft tissue augmentation around dental implants and in partially edentulous areas: a systematic review. J Clin Periodontol 2014;41(Suppl 15):S77-S91
61. Jung RE, Holderegger C, Sailer I, Khraisat A, Suter A, Hammerle CH. The effect of all-ceramic and porcelain-fused-to-metal restorations on marginal periimplant soft tissue color: a randomized controlled clinical trial. Int J Periodontics Restorative Dent 2008;28:357-365
62. Jung RE, Sailer I, Hammerle CH, Attin T, Schmidlin P. In vitro color changes of soft tissues caused by restorative materials. Int J Periodontics Restorative Dent 2007;27:251-257
63. van Brakel R, Noordmans HJ, Frenken J, de Roode R, de Wit GC, Cune MS. The effect of zirconia and titanium implant abutments on light reflection of the supporting soft tissues. Clin Oral Implants Res 2011;22:1172-1178
64. Stimmelmayr M, Stangl M, EdelhoffD, Beuer F. Clinical prospective study of a modified technique to extend the keratinized gingiva around implants in combination with ridge augmentation: one-year results. Int J Oral Maxillofac Implants 2011;26:1094-1101
65. Cortell-Ballester I, Figueiredo R, Gay-Escoda C. Lowering of the mouth floor and vestibuloplasty to support a mandibular overdenture retained by two implants. A case report. J Clin Exp Dent 2014;6:e310-e312
66. Watzek G, Hommer M, Insayif J, Kratzik I. [Prosthetically indicated surgical measures: an overview]. Phillip J 1991;8:159-166
67. Herford AS, Akin L, Cicciu M, Maiorana C, Boyne PJ. Use of a porcine collagen matrix as an alternative to autogenous tissue for grafting oral soft tissue defects. J Oral Maxillofac Surg 2010;68:1463-1470
68. Lorenzo R, Garcia V, Orsini M, Martin C, Sanz M. Clinical efficacy of a xenogeneic collagen matrix in augmenting keratinized mucosa around implants: a randomized controlled prospective clinical trial. Clin Oral Implants Res 2012;23:316-324
69. Cortellini P, Prato GP, Tonetti MS. The modified papilla preservation technique. A new surgical approach for interproximal regenerative procedures. J Periodontol 1995;66:261-266