Does Peri-Implant Mucosa Have a Prognostic Value?

Mohanad Al-Sabbagh, Pinelopi Xenoudi, Fatimah Al-Shaikhli, Walied Eldomiaty, Ahmed Hanafy

    Research output: Contribution to journalReview articlepeer-review

    2 Scopus citations

    Abstract

    The need for keratinized tissue around implants remains a controversial topic. However, reconstruction of keratinized mucosa may be needed to facilitate restorative procedures, improve aesthetics, and control plaque during oral hygiene. Free gingival grafts, connective tissue grafts, allogenic/xenograft materials, and apically positioned flaps have been used to augment soft tissue around implants. Four different timing protocols have been explored with regard to soft-tissue augmentation: before and during implant placement, during the second-stage surgery, or after restoration. The timing and technique of soft-tissue augmentation remain controversial and lack support from literature. Long-term clinical studies to establish clear guidelines are warranted.

    Original languageEnglish
    Pages (from-to)567-580
    Number of pages14
    JournalDental Clinics of North America
    Volume63
    Issue number3
    DOIs
    StatePublished - Jul 2019

    Bibliographical note

    Publisher Copyright:
    © 2019 Elsevier Inc.

    Keywords

    • Aesthetic outcome
    • Implant health
    • Keratinized mucosa
    • Mucosal biotype
    • Peri-implant mucosa
    • Soft-tissue augmentation

    ASJC Scopus subject areas

    • General Dentistry

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