Management of Soft Tissue Defects Around Single Implants: A Systematic Review of the Literature

IF 1.7 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Clinical and Experimental Dental Research Pub Date : 2024-11-04 DOI:10.1002/cre2.70003

Haithem Moussa, Wafa Nasri, Rania Gargouri, Afif Bouslema

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引用次数: 0

Abstract

Objectives

The aim of this systematic review was to assess the effectiveness of the available techniques for the management of peri-implant soft tissue defects around single implants in the anterior region.

Material and Methods

A comprehensive search was conducted in PubMed (MEDLINE), Web of Science (all databases), and Cochrane, using keywords and MeSH terms related to the topic. This systematic review included prospective interventional studies with a minimum of 10 patients and at least 6 months of follow-up.

Results

A total of 13 articles were included, with eight focusing on outcomes related to buccal soft tissue dehiscence coverage procedures and the remaining five investigating interventions aimed at augmenting soft tissue thickness. Coronally advanced flap in combination with connective tissue graft was the most effective technique for buccal soft tissue dehiscence coverage in the medium and long term. In terms of increasing soft tissue thickness, both connective tissue graft and acellular dermal matrix demonstrated satisfactory short-term outcomes; however, their long-term efficacy remains unclear.

Conclusions

Soft tissue augmentation procedures resulted in satisfactory outcomes, in terms of buccal soft tissue dehiscence coverage and soft tissue thickness increase, around single implants in the esthetic area. Peri-implant plastic surgery has improved both the esthetic appearance and quality of life of patients.

PROSPERO Registration Code

CRD42023398424

Abstract Image

查看原文本刊更多论文

单体植入物周围软组织缺损的处理：文献系统性综述。

目的本系统综述旨在评估现有技术对前牙区单颗种植体周围软组织缺损治疗的有效性：使用与该主题相关的关键词和 MeSH 术语在 PubMed（MEDLINE）、Web of Science（所有数据库）和 Cochrane 中进行了全面检索。该系统性综述包括至少有 10 名患者和至少 6 个月随访的前瞻性干预研究：结果：共纳入了 13 篇文章，其中 8 篇侧重于与颊软组织开裂覆盖程序相关的结果，其余 5 篇调查了旨在增加软组织厚度的干预措施。从中长期来看，冠状突起皮瓣结合结缔组织移植是最有效的颊软组织开裂覆盖技术。在增加软组织厚度方面，结缔组织移植和非细胞真皮基质都取得了令人满意的短期效果，但其长期疗效仍不明确：软组织增量手术在口腔软组织开裂覆盖率和软组织厚度增加方面都取得了令人满意的效果。种植体周围整形手术改善了患者的美学外观和生活质量：CRD42023398424。

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来源期刊

Clinical and Experimental Dental Research DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

3.30

自引率

5.60%

发文量

165

审稿时长

26 weeks

期刊介绍： Clinical and Experimental Dental Research aims to provide open access peer-reviewed publications of high scientific quality representing original clinical, diagnostic or experimental work within all disciplines and fields of oral medicine and dentistry. The scope of Clinical and Experimental Dental Research comprises original research material on the anatomy, physiology and pathology of oro-facial, oro-pharyngeal and maxillofacial tissues, and functions and dysfunctions within the stomatognathic system, and the epidemiology, aetiology, prevention, diagnosis, prognosis and therapy of diseases and conditions that have an effect on the homeostasis of the mouth, jaws, and closely associated structures, as well as the healing and regeneration and the clinical aspects of replacement of hard and soft tissues with biomaterials, and the rehabilitation of stomatognathic functions. Studies that bring new knowledge on how to advance health on the individual or public health levels, including interactions between oral and general health and ill-health are welcome.