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


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
Issue number3
StatePublished - Jul 2019

Bibliographical note

Publisher Copyright:
© 2019 Elsevier Inc.


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

ASJC Scopus subject areas

  • Dentistry (all)


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