Placement of dental implants in the correct tridimensional position produces good results that are maintained over time. However, some esthetic alterations may occur in the hard and soft tissues that compromise the success rate of dental implants. Indeed the alveolar ridge undergoes clinical and biological modifications after tooth extraction that result in soft and hard tissue loss.
Soft tissue grafts may be used to achieve better clinical outcomes, providing a more stable peri-implant mucosa.
Soft tissue grafts are increasingly performed in conjunction with dental implants therapy for a number of indications that include recession coverage, gain of keratinized tissue(KT), and augmentation of soft tissue volume.
The objective of this study was to review the literature in terms of soft tissue grafts and their influence on peri-implant health.
Material and Methods
The controlled clinical studies comparing soft tissue grafting versus no soft tissue grafting or two types of soft tissue grafts at implant sites were selected using a MEDLINE search from 1966 to 2016 and an additional hand search.
10 study resulted to be suitable for the review according to the inclusion criteria.
-keratinized tissue: soft tissue grafts for gain of KT showed greater improvement of gingival index values compared to maintenance groups.
- Graft technique: statistically significant differences were registered in favor of apically positioned flap (APF) plus autogenous grafts versus all control treatments (APF alone; APF plus a collagen matrix; maintenance without intervention) as regard marginal bone levels changes.
-peri-implant health: Soft tissue grafts didn’t show any significant improvement in bleeding indices, but a significantly less marginal bone loss over time was observed compared to sites without grafting.
The present systematic review focused on the influence of soft tissue grafts onperi-implant healthsoft tissue grafts improve peri-implant healthkeratinized tissue and mucosal thickness using autogenous grafts.
(Photocredit: Dr. Stefano Storelli)
Endodontics 19 July 2021
Authors: Marco Esposito, Luca Sbricoli, Jacopo Buti, Umberto Uccioli, Marco Tallarico
The purpose of the paper is to ascertain whether it is better to endodontically retreat a previously endodontically treated tooth with periapical pathology and/or symptoms and an uncertain prognosis,...
Implantology 16 July 2021
Authors: Pietro Felice, Carlo Barausse, Rubén Davó, Roberto Pistilli, Carlos Marti-Pages, Ada Ferrer-Fuertes, Agnese Ferri, Marco Esposito
PurposeTo compare the clinical outcomes of immediately loaded cross-arch maxillary prostheses supported by zygomatic implants versus conventional implants placed in augmented bone.Materials and...
Implantology 30 June 2021
Authors: Carlo Barausse, Marco Esposito, Fabio Colombelli, Pierantonio Bellini, Jacopo Buti, Pietro Felice
Objectives. To compare crestal versus 1.5 mm subcrestal positioning of single transmucosal dental implants and screw-retained versus cemented crowns.Materials and methods. One hundred and sixty...
Implantology 13 October 2020
Authors: P. Felice, C. Barausse, R. Davó, R. Pistilli, C. Marti-Pages, A. Ferrer-Fuertes, A. Ferri, M. Esposito
PURPOSE. To compare the clinical outcomes of immediately loaded cross-arch maxillary prostheses supported by zygomatic implants versus conventional implants...
Oral pathology 04 August 2021
Authors: Marco Campana, Mariani Umberto, Valeria Martini, Riccardo Bonacina, Sonzogni Aurelio
The Objectives of this work are to propose a literature review from 2008 up to 2018 about oral manifestations of sarcoidosis and scar-sarcoidosis and to introduce a rare case of a primary intraoral...
News 04 August 2021
Oral pathology 02 August 2021
Authors: Emanuela Serritella, Paola Di Giacomo, Chiara Vompi, Gianni Falisi, Carlo Di Paolo
Aim: This study aims to compare the epidemiological data of three cohorts of dysfunctional patients attending to the Clinical Gnathology Service of “Policlinico Umberto I University Hospital...