同时使用结缔组织移植物和立即拔牙后种植体放置的有效性:文献综述

N. Solano, Dalmiro Ortega, A. Peraza, M. Vargas, M. Fox
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引用次数: 0

摘要

近几十年来,在评估种植体康复的长期效果时,粉红色美学是一个相关因素,主要是在前段。拔牙后立即植入种植体是无牙患者康复的另一种选择,尽管成功率很高,但其主要并发症中存在相关种植体周围组织衰退,结缔组织移植物的使用是一种可以保持种植体周围粘膜稳定性的工具。本文献综述的目的是评估在拔牙后立即使用结缔组织移植物作为改善种植体周围稳定性的替代方法。在科学研究中应用该技术测量的粉红色美学评分已证明了良好的效果,有利于那些具有良好牙龈表型的病例。同样,较少观察到种植体周围粘膜的衰退,导致较少的相关并发症,并且是实现长期稳定性,改善种植体周围组织和更好临床结果的替代方法。然而,重要的是要考虑到牙龈表型并不是拔牙后种植体的唯一考虑因素,因为必须评估前庭皮层的厚度和完整性,跳跃距离以及种植体的设计和三维定位。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effectiveness of the Use of Simultaneous Connective Tissue Grafts and Immediate Post-Extraction Implant Placement: A Literature Review
In recent decades, pink aesthetics represents a relevant factor when evaluating long-term results in implant rehabilitation, mainly in the anterior sector. Immediate implant placement after dental extraction is an alternative for the rehabilitation of edentulous patients, and despite its high success rate, the presence of associated peri-implant tissue recessions has been evidenced within its main complications, and the use of connective tissue grafts are a tool that could preserve the stability of the peri-implant mucosa. The objective of this literature review is to assess the use of simultaneous connective tissue grafts with implant placement immediately after extraction as an alternative to improve peri-implant stability. Good results have been evidenced by applying this technique measured in the pink aesthetic score in scientific studies, benefiting those cases with a fine gingival phenotype. Likewise, fewer recessions of the peri-implant mucosa have been observed, which causes fewer associated complications and constitutes an alternative to achieve long-term stability, improvement of peri-implant tissues and better clinical results. However, it is important to take into account that the gingival phenotype is not the only element to consider in post-extraction implants, since the thickness and integrity of the vestibular cortex, the jumping distance, as well as the design of the implant and the three-dimensional positioning must be evaluated.
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