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

IF 3.2 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of prosthodontic research Pub Date : 2024-05-22 DOI:10.2186/jpr.JPR_D_24_00002

Se-Lim Oh, Shahriar Shahami, Lilia J Bernal-Cepeda, Yunting Fu, Man-Kyo Chung

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引用次数: 0

Abstract

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.

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角质化粘膜植入对功能性植牙的治疗效果：系统回顾与荟萃分析。

目的：本研究旨在提供使用自体软组织移植物进行角化粘膜（KM）增量的最新治疗效果：研究选择：对电子数据库中有关自体软组织移植用于创建和/或增强功能性牙科种植体的角化粘膜的内容进行了系统性检索。两名研究人员从最初检索到的 573 篇文献中独立提取了 11 项临床研究的数据，其中包括 290 名参与者：结果：牙科种植体周围缺乏KM与更严重的粘膜炎症有关。游离龈移植（FGG）可增加KM宽度，结缔组织移植（CTG）可控制种植体周围粘膜衰退（MR）。在选定的 FGG 研究中，KM 的加权平均增量为 2.6 毫米，粘膜炎症明显减少，骨嵴水平在长达 4 年的时间里没有变化。在选定的 CTG 研究中，MR 的加权平均减少量为 2 毫米：结论：缺乏KM会对牙科种植体周围的软组织健康产生负面影响。FGG能有效增加KM和减少粘膜炎症，而CTG能有效减少MR。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of prosthodontic research DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

6.90

自引率

11.10%

发文量

161

期刊介绍： Journal of Prosthodontic Research is published 4 times annually, in January, April, July, and October, under supervision by the Editorial Board of Japan Prosthodontic Society, which selects all materials submitted for publication. Journal of Prosthodontic Research originated as an official journal of Japan Prosthodontic Society. It has recently developed a long-range plan to become the most prestigious Asian journal of dental research regarding all aspects of oral and occlusal rehabilitation, fixed/removable prosthodontics, oral implantology and applied oral biology and physiology. The Journal will cover all diagnostic and clinical management aspects necessary to reestablish subjective and objective harmonious oral aesthetics and function. The most-targeted topics: 1) Clinical Epidemiology and Prosthodontics 2) Fixed/Removable Prosthodontics 3) Oral Implantology 4) Prosthodontics-Related Biosciences (Regenerative Medicine, Bone Biology, Mechanobiology, Microbiology/Immunology) 5) Oral Physiology and Biomechanics (Masticating and Swallowing Function, Parafunction, e.g., bruxism) 6) Orofacial Pain and Temporomandibular Disorders (TMDs) 7) Adhesive Dentistry / Dental Materials / Aesthetic Dentistry 8) Maxillofacial Prosthodontics and Dysphagia Rehabilitation 9) Digital Dentistry Prosthodontic treatment may become necessary as a result of developmental or acquired disturbances in the orofacial region, of orofacial trauma, or of a variety of dental and oral diseases and orofacial pain conditions. Reviews, Original articles, technical procedure and case reports can be submitted. Letters to the Editor commenting on papers or any aspect of Journal of Prosthodontic Research are welcomed.