Therapeutic effectiveness of keratinized mucosa augmentation for functioning dental implants: A systematic review and meta-analysis

被引:4
作者
Oh, Se -Lim [1 ,6 ]
Shahami, Shahriar [2 ]
Bernal-Cepeda, Lilia J. [3 ]
Fu, Yunting [4 ]
Chung, Man-Kyo [5 ]
机构
[1] Univ Maryland, Sch Dent, Dept Adv Oral Sci & Therapeut, Baltimore, MD 21201 USA
[2] Univ Maryland, Sch Dent, Dept Gen Dent, Baltimore, MD 21201 USA
[3] Univ Nacl Colombia, Sch Dent, Dept Basic Sci & Oral Med, Bogota, Colombia
[4] Univ Maryland, Hlth Sci & Human Serv Lib, Baltimore, MD 21201 USA
[5] Univ Maryland, Sch Dent, Dept Neural & Pain Sci, Baltimore, MD 21201 USA
[6] Univ Maryland, Sch Dent, 650 West Baltimore St,Room 4211, Baltimore, MD 21201 USA
关键词
Keratinized mucosa; Dental implants; Free gingival graft; Connective tissue graft; Mucosal recession; FREE GINGIVAL GRAFTS; SOFT-TISSUE DEHISCENCE; SINGLE IMPLANTS; RECESSION; INCREASE; COVERAGE; WIDTH;
D O I
10.2186/jpr.JPR_D_24_00002
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Purpose: This study aimed to provide the latest updates on the therapeutic effectiveness of keratinized mucosa (KM) augmentation using autogenous soft tissue grafts for dental implants retaining prostheses. Study selection: A systematic search of electronic databases was conducted on autogenous soft tissue grafts to create and/or augment KM for functioning dental implants. Two investigators independently extracted data from the selected 11 clinical studies, including 290 participants, from the initially retrieved 573 publications. Results: A lack of KM surrounding dental implants was associated with greater mucosal inflammation. A free gingival graft (FGG) was used to increase the KM width, and a connective tissue graft (CTG) was used to manage peri-implant mucosal recession (MR). The weighted mean gain in KM was 2.6 mm from the selected FGG studies, with a significant reduction in mucosal inflammation and no changes in crestal bone levels for up to 4 years. The weighted mean reduction in MR was 2 mm in selected CTG studies. Conclusions: A lack of KM negatively affects soft tissue health around dental implants. FGG was effective in increasing KM and reducing mucosal inflammation, whereas CTG was effective in decreasing MR.
引用
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页码:4 / 11
页数:8
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