SOFT TISSUE AUGMENTATION AROUND DENTAL IMPLANT
Main Article Content
Keywords
Dental implants, soft tissue augmentation, aesthetic outcomes, stability, success
Abstract
This method can potentially be used to correct and enhance soft tissue quality around any implant. Further research involving histological analysis is going to be required to compare types of implant site augmentation, to verify what is truly the best method. (Tavelli et al.2021)
The aim of this paper is to present a clinical method to augment the buccal soft tissue contour around a maxillary anterior implant. This technique involves a rotated split-thickness flap to create a buccal shelf of keratinized tissue which is then covered with an acellular dermal matrix allograft. This can lead to more predictable tissue thickness and aesthetic results in the maxillary anterior region. A case report is used to demonstrate this method.
In pursuit of satisfactory aesthetic results in implant dentistry, the soft tissue surrounding an implant-supported crown must be given ample consideration. Many approaches towards augmenting the peri-implant soft tissue have been discussed in the dental literature. They range from the use of specially designed implant healing abutments to the complete surgical creation of a soft tissue bed utilizing subepithelial connective tissue grafts.
References
2. Fickl, S., Therese Kröger, A., Dietrich, T., & Kebschull, M. (2021). Influence of soft tissue augmentation procedures around dental implants on marginal bone level changes—a systematic review. Clinical Oral Implants Research, 32, 108-137. wiley.com
3. Chai, W. L., Razali, M., Moharamzadeh, K., & Zafar, M. S. (2020). The hard and soft tissue interfaces with dental implants. Dental Implants. [HTML]
4. Avila‐Ortiz, G., Couso‐Queiruga, E., Pirc, M., Chambrone, L., & Thoma, D. S. (2023). Outcome measures and methods of assessment of soft‐tissue augmentation interventions in the context of dental implant therapy: A systematic review of clinical studies published in the last 10 years. Clinical oral implants research, 34, 84-96. wiley.com
5. Gracis, S., Llobell, A., & Chu, S. J. (2023). Contemporary concepts on periodontal complications from prosthetic and restorative therapies. Periodontology 2000. [HTML]
6. Abou-Arraj, R. V., Pizzini, A., Nasseh, P., & Basma, H. S. (2020). Soft tissue grafting around implants: why, when, and how?. Current Oral Health Reports, 7, 381-396. [HTML]
7. Oh, S. L., Shiau, H. J., & Reynolds, M. A. (2020). Survival of dental implants at sites after implant failure: A systematic review. The Journal of prosthetic dentistry. researchgate.net
8. Thoma, D. S., Gil, A., Hämmerle, C. H., & Jung, R. E. (2022). Management and prevention of soft tissue complications in implant dentistry. Periodontology 2000, 88(1), 116-129. wiley.com
9. Monje, A., Roccuzzo, A., Buser, D., & Wang, H. L. (2023). Influence of buccal bone wall thickness on the peri‐implant hard and soft tissue dimensional changes: A systematic review. Clinical oral implants research, 34, 8-27. wiley.com
10. Jensen, S. S., Aghaloo, T., Jung, R. E., Bertl, K., Buser, D., Chappuis, V., ... & Zucchelli, G. (2023). Group 1 ITI Consensus Report: The role of bone dimensions and soft tissue augmentation procedures on the stability of clinical, radiographic, and patient‐reported outcomes of implant treatment. Clinical oral implants research, 34, 43-49. wiley.com