Influence of soft tissue augmentation procedures around dental implants on marginal bone level changes-A systematic review.
alveolar ridge augmentation
bone augmentation
dental implants
guided bone regeneration
guided tissue regeneration
soft tissue augmentation
Journal
Clinical oral implants research
ISSN: 1600-0501
Titre abrégé: Clin Oral Implants Res
Pays: Denmark
ID NLM: 9105713
Informations de publication
Date de publication:
Oct 2021
Oct 2021
Historique:
revised:
03
08
2021
received:
15
12
2020
accepted:
05
08
2021
entrez:
13
10
2021
pubmed:
14
10
2021
medline:
15
10
2021
Statut:
ppublish
Résumé
This systematic review assessed the influence of soft tissue augmentation procedures on marginal bone level changes in partial or fully edentulous patients. We identified three relevant PICO questions related to soft tissue augmentation procedures and conducted a systematic search of four major electronic databases for clinical studies in systemically healthy patients receiving at least one dental implant and a minimum follow-up of one year after implant placement. The primary outcome was mean difference in marginal bone levels, and secondary outcomes were clinical and patient-related outcomes such as thickness of peri-implant mucosa, bleeding indices, and Pink Esthetic Score. We identified 20 publications reporting on 16 relevant comparisons. Studies varied considerably and thus only two meta-analyses could be performed. This systematic review showed that: Soft tissue augmentation either for augmentation of keratinized mucosa or soft tissue volume inconsistently had an effect on marginal bone level changes when compared to no soft tissue augmentation, but consistently improved secondary outcomes. The combination soft and hard tissue augmentation showed no statistically significant difference in terms of marginal bone level changes when compared to hard tissue augmentation alone, but resulted in less marginal soft tissue recession as shown by a meta-analysis. Soft or hard tissue augmentation performed as contour augmentations resulted in comparable marginal bone level changes. Peri-implant soft and hard tissues seem to have a bidirectional relationship: "Bone stands hard, but soft tissue is the guard".
Substances chimiques
Dental Implants
0
Types de publication
Journal Article
Meta-Analysis
Review
Systematic Review
Langues
eng
Pagination
108-137Informations de copyright
© 2021 The Authors. Clinical Oral Implants Research published by John Wiley & Sons Ltd.
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