The Significance of Keratinized Mucosa on Implant Health: A Systematic Review
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TLDR
A lack of adequate KM around endosseous dental implants is associated with more plaque accumulation, tissue inflammation, MR, and AL and meta-analyses of other parameters presented moderate-to-high degree of heterogeneity.Abstract:
Background: Whether a minimal width of keratinized mucosa (KM) is required to maintain peri-implant tissue health has been a topic of interest. This systematic review and meta-analysis aims to investigate the effect of KM on various peri-implant health-related parameters.Methods: An electronic search of five databases (from 1965 to October 2012) and a hand search of peer-reviewed journals for relevant articles were performed. Human cross-sectional or longitudinal studies with data on the relationship between the amount of KM around dental implants and various peri-implant parameters, with a follow-up period of at least 6 months, were included.Results: Eleven studies, seven cross-sectional and four longitudinal, were included. Weighted mean difference (WMD) and confidence interval (CI) were calculated with meta-analyses for each clinical parameter. The results showed statistically significant differences in plaque index (PI) and modified PI (WMD = −0.27, 95% CI = −0.43 to −0.11), modified gingival index (m...read more
Citations
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Journal ArticleDOI
Effects of soft tissue augmentation procedures on peri-implant health or disease: A systematic review and meta-analysis.
Daniel S. Thoma,Nadja Naenni,Elena Figuero,Christoph H. F. Hämmerle,Frank Schwarz,Ronald E. Jung,Ignacio Sanz-Sánchez +6 more
TL;DR: It was concluded that soft tissue grafting procedures result in more favorable peri-implant health: (i) for gain of keratinized mucosa using autogenous grafts with a greater improvement of bleeding indices and higher marginal bone levels; (ii) for loss of mucosal thickness using autogeneous grafting with significantly less marginal bone loss.
Journal ArticleDOI
Peri-implant mucositis.
TL;DR: Peri-implant mucositis is an inflammatory lesion of the soft tissues surrounding an endosseous implant in the absence of loss of supporting bone or continuing marginal bone loss and biofilm accumulation disrupts the host-microbe homeostasis at the implant-mucosa interface, resulting in aninflammatory lesion.
Journal ArticleDOI
Risk indicators for peri‐implantitis. A narrative review
TL;DR: There is some evidence to support the role of genetic polymorphism, diabetes, and excess cement as risk indicators for the development of peri-implantitis, but a history of periodontal disease, smoking, excess cement, and lack of supportive therapy should be considered.
Journal ArticleDOI
Keratinized mucosa around implants in partially edentulous posterior mandible: 10‐year results of a prospective comparative study
TL;DR: In selected cases, particularly in the edentulous posterior mandible, where ridge resorption leads to reduced vestibular depth and lack of KT, additional FGG can be beneficial to facilitate proper oral hygiene procedures.
Journal ArticleDOI
Is keratinized mucosa indispensable to maintain peri‐implant health? A systematic review of the literature
Carlos Brito,Howard C. Tenenbaum,Benjamin K. C. Wong,Christian Schmitt,Getulio Nogueira-Filho +4 more
TL;DR: It is concluded that the presence of an adequate zone of keratinized tissue may be necessary because it was shown to be related to better peri-implant tissue health and further randomized controlled trials are necessary to support this statement.
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