Gingival phenotype role in early peri-implant bone remodeling

Abstract

According to the literature the preservation of peri-implant bone is multi-factorial process and one of the key factor is the quality and quantity of soft tissues. If necessary, it can be created by different grafting procedures before implant placement, during insertion or even after it. It is necessary to appreciate the influence of gingival phenotype upon periimplant bone loss during healing period. The aim of the study was to evaluate the soft tissue influence upon peri-implant bone remodeling during the healing period. The study was performed by analyzing the bone loss around 109 two-piece dental implants installed in one surgical step in 64 patients in posterior sides of the lower jaw (premolar and molar regions) who presented different thickness of the mucosa. After correlation analysis it was determined that the gingival phenotype have no impact on peri-implant bone loss during the healing period. Thus, gingival grafting can be performed before implant placement, during insertion or even after it.