Stability of soft tissue augmentation at implant site using volume-stable collagen matrix: 2-year retrospective study.

IF 1.3 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Yaniv Mayer, Leonardo Mancini, Yarden Berg, Jamil A Shibli, Marco Zeltner, Hadar Zigdon Giladi, Eran Gabay
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引用次数: 0

Abstract

Objective: To evaluate the long-term dimensional stability of dental ridges two years after soft tissue augmentation using a porcine-derived volume-stable collagen matrix (VCMX) at healing abutment connections.

Methods: A retrospective study was conducted at a private clinic from 2021 to 2023, involving 13 patients who underwent delayed single implant placement in both maxillae and mandible. Three months after implant placement, the buccal soft tissue adjacent to the abutment was augmented with VCMX. Intraoral scans were taken at three points: at implant placement (baseline), one-month post-grafting, and 24 months after implant loading. Pre-implant cone-beam computed tomography (CBCT) scans were also obtained. Volumetric and profilometric changes were measured at 1mm, 2mm, and 3mm below the mucosal margin by superimposing intraoral and CBCT scans. The Wilcoxon signed-rank test was used for statistical analysis.

Results: All 13 patients completed the two-year follow-up. Mean volumetric changes at the graft site were +18.15 ± 15.34 mm³ initially, decreasing by 11.73 ± 21.91 mm³ over two years. Profilometric analysis showed increases of 0.72 ± 0.88 mm, 0.54 ± 0.65 mm, and 0.32 ± 0.65 mm at 1, 2, and 3 mm, respectively, one-month post-grafting. At 24 months, reductions of -0.17 ± 0.77 mm, -0.45 ± 0.58 mm, and -0.48 ± 0.60 mm were recorded.

Conclusions: VCMX use for soft tissue augmentation shows minimal remodeling after 24 months, supporting its efficacy for soft tissue stability in dental implantology. Further long-term studies are recommended.

使用体积稳定的胶原基质在种植体部位增强软组织的稳定性:2年回顾性研究。
目的:评价采用猪源性体积稳定胶原基质(VCMX)软组织增强两年后修复基牙连接时牙脊的长期尺寸稳定性。方法:回顾性研究于2021年至2023年在一家私人诊所进行,涉及13例在上颌和下颌骨延迟单种植的患者。种植体放置3个月后,用VCMX增强临近基牙的颊软组织。在三个点进行口内扫描:种植体放置时(基线)、移植后1个月和种植体装载后24个月。还获得了植入前的锥形束计算机断层扫描(CBCT)。通过叠加口腔内和CBCT扫描,在粘膜边缘以下1mm、2mm和3mm处测量体积和轮廓变化。采用Wilcoxon符号秩检验进行统计分析。结果:13例患者均完成2年随访。移植部位的平均体积变化最初为+18.15±15.34 mm³,两年后减少11.73±21.91 mm³。轮廓分析显示,嫁接后1个月,在1、2和3 mm处,分别增加了0.72±0.88 mm、0.54±0.65 mm和0.32±0.65 mm。24个月时,分别减少-0.17±0.77 mm、-0.45±0.58 mm和-0.48±0.60 mm。结论:VCMX用于软组织隆胸24个月后重塑最小,支持其对种植体软组织稳定性的疗效。建议进一步进行长期研究。
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
Quintessence international
Quintessence international 医学-牙科与口腔外科
CiteScore
3.30
自引率
5.30%
发文量
11
审稿时长
1 months
期刊介绍: QI has a new contemporary design but continues its time-honored tradition of serving the needs of the general practitioner with clinically relevant articles that are scientifically based. Dr Eli Eliav and his editorial board are dedicated to practitioners worldwide through the presentation of high-level research, useful clinical procedures, and educational short case reports and clinical notes. Rigorous but timely manuscript review is the first order of business in their quest to publish a high-quality selection of articles in the multiple specialties and disciplines that encompass dentistry.
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