Diego Marques da Silva, Filipe Castro, Bruno Martins, Javier Flores Fraile, Juliana Campos Hasse Fernandes, Gustavo Vicentis Oliveira Fernandes
{"title":"牙龈表型对种植体存活率和临床参数的影响：一项系统综述。","authors":"Diego Marques da Silva, Filipe Castro, Bruno Martins, Javier Flores Fraile, Juliana Campos Hasse Fernandes, Gustavo Vicentis Oliveira Fernandes","doi":"10.1038/s41432-025-01114-x","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>The goal of this systematic review was to verify whether the gingival phenotype (thick or thin) could impact the dental implant survival rate by affecting the marginal bone.</p><p><strong>Methods: </strong>The search was carried out on PubMed/MedLine, PubMed Central, and B-On databases. The research question was: \"Does gingival phenotype positively or negatively influence marginal bone loss around dental implants?\" The inclusion criteria were: any clinical trial/study, comparative study, prospective or retrospective articles, systematic review that addressed at least a 1-year follow-up with an assessment of the marginal bone loss (MBL) around dental implants, articles that reported the gingival phenotype (thin or thick) and were published in the last 13 years. The exclusion criteria were narrative or other reviews, letters to the editor, and commentaries. Data extraction included the author's name, year of publication, type of study, sample size, number of implants, method used, and outcomes presented. The extracted data was summarized and presented in the results section. Critical Appraisal tool in JBI Systematic Reviews was used to determine the possibility of bias.</p><p><strong>Results: </strong>A total of 62 articles were found, but eight articles were relevant to compose this study. After deep evaluation, it was possible to observe the implant success rate for both gingival phenotypes, thin and thick, was greater than 91% within a follow-up of up to 5 years. Therefore, it is unclear whether the thickness of the gingival tissue surrounding the implant can directly influence the marginal bone level. The gingival phenotype may be indirectly involved in the survival rate of dental implants, as it can be a risk factor for peri-implantitis, leading to marginal bone loss beyond what is expected.</p><p><strong>Discussion: </strong>The thin gingival phenotype is one of the main risk factors for additional bone loss. It is crucial to know how to preserve the healthy condition.</p><p><strong>Conclusion: </strong>Within the results found, the gingival phenotype is indirectly related to implant survival rate and clinical parameters, which were respectively high and non-conclusive. Therefore, a higher risk of peri-implantitis is suggested when a thin phenotype is present.</p>","PeriodicalId":12234,"journal":{"name":"Evidence-based dentistry","volume":" ","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The influence of the gingival phenotype on implant survival rate and clinical parameters: a systematic review.\",\"authors\":\"Diego Marques da Silva, Filipe Castro, Bruno Martins, Javier Flores Fraile, Juliana Campos Hasse Fernandes, Gustavo Vicentis Oliveira Fernandes\",\"doi\":\"10.1038/s41432-025-01114-x\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>The goal of this systematic review was to verify whether the gingival phenotype (thick or thin) could impact the dental implant survival rate by affecting the marginal bone.</p><p><strong>Methods: </strong>The search was carried out on PubMed/MedLine, PubMed Central, and B-On databases. The research question was: \\\"Does gingival phenotype positively or negatively influence marginal bone loss around dental implants?\\\" The inclusion criteria were: any clinical trial/study, comparative study, prospective or retrospective articles, systematic review that addressed at least a 1-year follow-up with an assessment of the marginal bone loss (MBL) around dental implants, articles that reported the gingival phenotype (thin or thick) and were published in the last 13 years. The exclusion criteria were narrative or other reviews, letters to the editor, and commentaries. Data extraction included the author's name, year of publication, type of study, sample size, number of implants, method used, and outcomes presented. The extracted data was summarized and presented in the results section. Critical Appraisal tool in JBI Systematic Reviews was used to determine the possibility of bias.</p><p><strong>Results: </strong>A total of 62 articles were found, but eight articles were relevant to compose this study. After deep evaluation, it was possible to observe the implant success rate for both gingival phenotypes, thin and thick, was greater than 91% within a follow-up of up to 5 years. Therefore, it is unclear whether the thickness of the gingival tissue surrounding the implant can directly influence the marginal bone level. The gingival phenotype may be indirectly involved in the survival rate of dental implants, as it can be a risk factor for peri-implantitis, leading to marginal bone loss beyond what is expected.</p><p><strong>Discussion: </strong>The thin gingival phenotype is one of the main risk factors for additional bone loss. It is crucial to know how to preserve the healthy condition.</p><p><strong>Conclusion: </strong>Within the results found, the gingival phenotype is indirectly related to implant survival rate and clinical parameters, which were respectively high and non-conclusive. Therefore, a higher risk of peri-implantitis is suggested when a thin phenotype is present.</p>\",\"PeriodicalId\":12234,\"journal\":{\"name\":\"Evidence-based dentistry\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-02-05\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Evidence-based dentistry\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1038/s41432-025-01114-x\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Dentistry\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Evidence-based dentistry","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1038/s41432-025-01114-x","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Dentistry","Score":null,"Total":0}
The influence of the gingival phenotype on implant survival rate and clinical parameters: a systematic review.
Objective: The goal of this systematic review was to verify whether the gingival phenotype (thick or thin) could impact the dental implant survival rate by affecting the marginal bone.
Methods: The search was carried out on PubMed/MedLine, PubMed Central, and B-On databases. The research question was: "Does gingival phenotype positively or negatively influence marginal bone loss around dental implants?" The inclusion criteria were: any clinical trial/study, comparative study, prospective or retrospective articles, systematic review that addressed at least a 1-year follow-up with an assessment of the marginal bone loss (MBL) around dental implants, articles that reported the gingival phenotype (thin or thick) and were published in the last 13 years. The exclusion criteria were narrative or other reviews, letters to the editor, and commentaries. Data extraction included the author's name, year of publication, type of study, sample size, number of implants, method used, and outcomes presented. The extracted data was summarized and presented in the results section. Critical Appraisal tool in JBI Systematic Reviews was used to determine the possibility of bias.
Results: A total of 62 articles were found, but eight articles were relevant to compose this study. After deep evaluation, it was possible to observe the implant success rate for both gingival phenotypes, thin and thick, was greater than 91% within a follow-up of up to 5 years. Therefore, it is unclear whether the thickness of the gingival tissue surrounding the implant can directly influence the marginal bone level. The gingival phenotype may be indirectly involved in the survival rate of dental implants, as it can be a risk factor for peri-implantitis, leading to marginal bone loss beyond what is expected.
Discussion: The thin gingival phenotype is one of the main risk factors for additional bone loss. It is crucial to know how to preserve the healthy condition.
Conclusion: Within the results found, the gingival phenotype is indirectly related to implant survival rate and clinical parameters, which were respectively high and non-conclusive. Therefore, a higher risk of peri-implantitis is suggested when a thin phenotype is present.
期刊介绍：
Evidence-Based Dentistry delivers the best available evidence on the latest developments in oral health. We evaluate the evidence and provide guidance concerning the value of the author''s conclusions. We keep dentistry up to date with new approaches, exploring a wide range of the latest developments through an accessible expert commentary. Original papers and relevant publications are condensed into digestible summaries, drawing attention to the current methods and findings. We are a central resource for the most cutting edge and relevant issues concerning the evidence-based approach in dentistry today. Evidence-Based Dentistry is published by Springer Nature on behalf of the British Dental Association.
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