Influence of vertical mucosal thickness and keratinized mucosal width on peri-implant health and marginal bone loss: a prospective study with a 2-year follow-up.
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引用次数: 0
Abstract
Background: Although it is known that the soft tissues around dental implants have an impact on its health and cause marginal bone loss, it is still uncertain exactly how. The aim of the study is to evaluate the effect of vertical mucosal thickness and keratinized mucosal width on marginal bone loss and periodontal clinical parameters in the 2-year follow-up of implants placed at the bone level.
Material and methods: 87 bone-level dental implants were placed in 31 patients. The initial vertical mucosal thickness (VMT) was recorded at implant placement. At the second year follow-up, gingival index (GI), plaque index (PI), probing depth (PD), bleeding on probe (BOP), radiographic marginal bone loss (MBL) and width of the keratinized mucosa (KMW) were all measured. MBL and periodontal clinical parameters were evaluated separately according to VMT and KMW. VMT was categorized into two groups, Group 1 (≤ 2mm) and Group 2 (> 2 mm). KMW was divided into two groups, Group A (< 2mm) and Group B (≥ 2 mm).
Results: Dental implants had a mean MBL of 0.39 ± 0.57 mm in the 2-year follow-up. MBL in Group 1 and 2 was 0.39 ± 0.42 mm and 0.38 ± 0.65 mm, respectively. MBL in Group A and B was 0.41 ± 0.68 mm and 0.37 ± 0.49 mm, respectively. No significant difference in MBL was found in the KMW and VMT groups (p>0.05). The group with the thicker vertical mucosa was shown to have statistically substantially higher PI and GI values (p=0.040 and p=0.014, respectively).
Conclusions: Within the limits of the present study, it was observed that the vertical mucosal thickness and the width of the keratinized mucosa did not affect the marginal bone loss. In addition, it was observed that the insufficiency of the width of the keratinized mucosa did not affect the periodontal clinical parameters, but the thicker vertical mucosa could increase the plaque index and gingival index.
期刊介绍：
1. Oral Medicine and Pathology:
Clinicopathological as well as medical or surgical management aspects of
diseases affecting oral mucosa, salivary glands, maxillary bones, as well as
orofacial neurological disorders, and systemic conditions with an impact on
the oral cavity.
2. Oral Surgery:
Surgical management aspects of diseases affecting oral mucosa, salivary glands,
maxillary bones, teeth, implants, oral surgical procedures. Surgical management
of diseases affecting head and neck areas.
3. Medically compromised patients in Dentistry:
Articles discussing medical problems in Odontology will also be included, with
a special focus on the clinico-odontological management of medically compromised patients, and considerations regarding high-risk or disabled patients.
4. Implantology
5. Periodontology
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