Teeth versus implants: mucogingival considerations and management of soft tissue complications.

Soft tissue complications around dental implants occur with an incidence between 1 and 7 percent, and the treatments for these have not been as well studied, understood or as predictable as with similar complications associated with teeth. These complications include recession, fenestration/dehiscence defects, gingival inflammation/proliferation and fistulas. This paper compares and contrasts important mucogingival considerations between teeth and implants. Diagnosis, treatment and prevention of some of the more common soft tissue complications are presented.

[1]  K. Rungcharassaeng,et al.  Marginal bone response of implants with platform switching and non-platform switching abutments in posterior healed sites: a 1-year prospective study , 2014, Clinical oral implants research.

[2]  D. Ziebolz,et al.  The effect of keratinized mucosa width on peri-implant outcome under supportive postimplant therapy. , 2015, Clinical implant dentistry and related research.

[3]  Howard C. Tenenbaum,et al.  Is keratinized mucosa indispensable to maintain peri-implant health? A systematic review of the literature. , 2014, Journal of biomedical materials research. Part B, Applied biomaterials.

[4]  G. R. Persson,et al.  Factors related to peri-implantitis - a retrospective study. , 2014, Clinical oral implants research.

[5]  P. Hardigan,et al.  Gingival margin changes in maxillary anterior sites after single immediate implant placement and provisionalization: a 5-year retrospective study of 47 patients. , 2014, The International journal of oral & maxillofacial implants.

[6]  A. Mombelli,et al.  The therapy of peri-implantitis: a systematic review. , 2014, The International journal of oral & maxillofacial implants.

[7]  K. Nagy,et al.  Vertical ridge augmentation with titanium-reinforced, dense-PTFE membranes and a combination of particulated autogenous bone and anorganic bovine bone-derived mineral: a prospective case series in 19 patients. , 2014, The International journal of oral & maxillofacial implants.

[8]  Hom-lay Wang,et al.  The significance of keratinized mucosa on implant health: a systematic review. , 2013, Journal of periodontology.

[9]  T. Linkevicius,et al.  Does residual cement around implant-supported restorations cause peri-implant disease? A retrospective case analysis. , 2012, Clinical oral implants research.

[10]  N. Karimbux,et al.  The effect of keratinized mucosa width on peri-implant health: a systematic review. , 2013, The International journal of oral & maxillofacial implants.

[11]  F. Daftary,et al.  Lifelong craniofacial growth and the implications for osseointegrated implants. , 2013, The International journal of oral & maxillofacial implants.

[12]  Daniel S. Thoma,et al.  Systematic review of the survival rate and the incidence of biological, technical, and aesthetic complications of single crowns on implants reported in longitudinal studies with a mean follow-up of 5 years. , 2012, Clinical oral implants research.

[13]  T. Albrektsson,et al.  Implant survival and complications. The Third EAO consensus conference 2012. , 2012, Clinical oral implants research.

[14]  J. Derks,et al.  Is there a need for keratinized mucosa around implants to maintain health and tissue stability? , 2012, Clinical oral implants research.

[15]  Ronald Jung,et al.  A systematic review of the survival and complication rates of implant-supported fixed dental prostheses (FDPs) after a mean observation period of at least 5 years. , 2012, Clinical oral implants research.

[16]  N. Donos,et al.  Hierarchical decisions on teeth vs. implants in the periodontitis-susceptible patient: the modern dilemma. , 2012, Periodontology 2000.

[17]  M. Wong,et al.  A systematic review of post-extractional alveolar hard and soft tissue dimensional changes in humans. , 2012, Clinical oral implants research.

[18]  H. De Bruyn,et al.  The peri-implant sulcus compared with internal implant and suprastructure components: a microbiological analysis. , 2011, Clinical implant dentistry and related research.

[19]  Santiago Mareque-Bueno.  A novel surgical procedure for coronally repositioning of the buccal implant mucosa using acellular dermal matrix: a case report. , 2011, Journal of periodontology.

[20]  Priyanka Jaiswal,et al.  Surgical reconstruction of interdental papilla using subepithelial connective tissue graft (SCTG) with a coronally advanced flap: a clinical evaluation of five cases. , 2010, The journal of contemporary dental practice.

[21]  L. Lim,et al.  The width of the attached gingiva--much ado about nothing? , 2010, Journal of dentistry.

[22]  K. Rungcharassaeng,et al.  Facial gingival tissue stability after connective tissue graft with single immediate tooth replacement in the esthetic zone: consecutive case report. , 2009, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[23]  J. Fiorellini,et al.  Five-year evaluation of the influence of keratinized mucosa on peri-implant soft-tissue health and stability around implants supporting full-arch mandibular fixed prostheses. , 2009, Clinical oral implants research.

[24]  C. Walter,et al.  Endodontics or implants? A review of decisive criteria and guidelines for single tooth restorations and full arch reconstructions. , 2009, International endodontic journal.

[25]  J. Son,et al.  Evaluation of peri-implant tissue response according to the presence of keratinized mucosa. , 2009, Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics.

[26]  H. Nowzari,et al.  Soft tissue enhancement around dental implants. , 2008, Periodontology 2000.

[27]  N. Lang,et al.  Soft tissue dehiscence coverage around endosseous implants: a prospective cohort study. , 2008, Clinical oral implants research.

[28]  E. Machtei,et al.  The dimensions of keratinized mucosa around implants affect clinical and immunological parameters. , 2008, Clinical oral implants research.

[29]  J. Henderson.  Extraction Defect Assessment, Classification, and Management , 2007 .

[30]  Hom-lay Wang,et al.  Flap thickness as a predictor of root coverage: a systematic review. , 2006, Journal of periodontology.

[31]  W. Chee,et al.  Scalloped dental implants: a retrospective analysis of radiographic and clinical outcomes of 17 NobelPerfect implants in 6 patients. , 2006, Clinical implant dentistry and related research.

[32]  Dong-Won Lee,et al.  Dimension of keratinized mucosa and the interproximal papilla between adjacent implants. , 2005, Journal of periodontology.

[33]  R. Genco,et al.  Informational Paper: Oral Reconstructive and Corrective Considerations in Periodontal Therapy. , 2005, Journal of periodontology.

[34]  D. Cardaropoli,et al.  Interdental papilla augmentation procedure following orthodontic treatment in a periodontal patient. , 2005, Journal of periodontology.

[35]  J. Lindhe,et al.  Dimensional ridge alterations following tooth extraction. An experimental study in the dog. , 2005, Journal of clinical periodontology.

[36]  Sang-Choon Cho,et al.  Screw Loosening for Standard and Wide Diameter Implants in Partially Edentulous Cases: 3- to 7-Year Longitudinal Data , 2004, Implant dentistry.

[37]  J. Shibli,et al.  Connective tissue graft to correct peri-implant soft tissue margin: A clinical report. , 2004, The Journal of prosthetic dentistry.

[38]  J. Gunsolley,et al.  Surgical therapies for the treatment of gingival recession. A systematic review. , 2003, Annals of periodontology.

[39]  Paul Fletcher,et al.  Vertical distance from the crest of bone to the height of the interproximal papilla between adjacent implants. , 2003, Journal of periodontology.

[40]  M. Janal,et al.  The influence of gingival margin recession on loss of clinical attachment in alcohol-dependent patients without medical disorders. , 2003 .

[41]  R. Cohen,et al.  The etiology and prevalence of gingival recession. , 2003, Journal of the American Dental Association.

[42]  Marc Quirynen,et al.  Infectious risks for oral implants: a review of the literature. , 2002, Clinical oral implants research.

[43]  G. Dahlén.  Microbiology and treatment of dental abscesses and periodontal-endodontic lesions. , 2002, Periodontology 2000.

[44]  D P Tarnow,et al.  Clinical and radiographic evaluation of the papilla level adjacent to single-tooth dental implants. A retrospective study in the maxillary anterior region. , 2001, Journal of periodontology.

[45]  G Carnevale,et al.  Surgical crown lengthening: a 12-month clinical wound healing study. , 2001, Journal of periodontology.

[46]  L. Trombelli,et al.  Intra- and inter-examiner reproducibility in keratinized tissue width assessment with 3 methods for mucogingival junction determination. , 2001, Journal of periodontology.

[47]  A. Heinecke,et al.  Masticatory mucosa in subjects with different periodontal phenotypes. , 2000, Journal of clinical periodontology.

[48]  D Buser,et al.  Biologic width around titanium implants. A physiologically formed and stable dimension over time. , 2000, Clinical oral implants research.

[49]  M. Nieri,et al.  Coronally advanced flap procedure for root coverage. Is flap thickness a relevant predictor to achieve root coverage? A 19-case series. , 1999, Journal of periodontology.

[50]  A. Kingman,et al.  Gingival recession, gingival bleeding, and dental calculus in adults 30 years of age and older in the United States, 1988-1994. , 1999, Journal of periodontology.

[51]  D. Tarnow,et al.  A classification system for loss of papillary height. , 1998, Journal of periodontology.

[52]  Ueli Crunder.  The Inlay‐Graft Technique to Create Papillae between Implants , 1997 .

[53]  D Buser,et al.  Biologic width around titanium implants. A histometric analysis of the implanto-gingival junction around unloaded and loaded nonsubmerged implants in the canine mandible. , 1997, Journal of periodontology.

[54]  J. Wennström,et al.  Recession of the soft tissue margin at oral implants. A 2-year longitudinal prospective study. , 1996, Clinical oral implants research.

[55]  N. Lang,et al.  Plaque-induced peri-implantitis in the presence or absence of keratinized mucosa. An experimental study in monkeys. , 1995, Clinical oral implants research.

[56]  P. Person,et al.  Gingival recession in relation to history of hard toothbrush use. , 1993, Journal of periodontology.

[57]  M. Quirynen,et al.  Bacterial colonization of the internal part of two-stage implants. An in vivo study. , 1993, Clinical oral implants research.

[58]  D. Tarnow,et al.  The effect of the distance from the contact point to the crest of bone on the presence or absence of the interproximal dental papilla. , 1992, Journal of periodontology.

[59]  N. Lang,et al.  Periodontal tissues and their counterparts around endosseous implants [corrected and republished with original paging, article orginally printed in Clin Oral Implants Res 1991 Jan-Mar;2(1):1-19]. , 1991, Clinical oral implants research.

[60]  D Buser,et al.  Tissue integration of non-submerged implants. 1-year results of a prospective study with 100 ITI hollow-cylinder and hollow-screw implants. , 1990, Clinical oral implants research.

[61]  H R Haanaes,et al.  Implants and infections with special reference to oral bacteria. , 1990, Journal of clinical periodontology.

[62]  D. E. Smith,et al.  Criteria for success of osseointegrated endosseous implants. , 1989, The Journal of prosthetic dentistry.

[63]  N F Bissada,et al.  Significance of the width of keratinized gingiva on the periodontal status of teeth with submarginal restorations. , 1987, Journal of periodontology.

[64]  U. van der Velden,et al.  Marginal soft tissue recessions with and without attached gingiva. A five year longitudinal study. , 1985, Journal of periodontal research.

[65]  T. Wilson,et al.  Compliance with maintenance therapy in a private periodontal practice. , 1984, Journal of periodontology.

[66]  R. Cronin,et al.  Loss of anterior interdental tissue: periodontal and prosthodontic solutions. , 1983, The Journal of prosthetic dentistry.

[67]  H. Löe,et al.  The relationship between the width of keratinized gingiva and gingival health. , 1972, Journal of periodontology.

[68]  M H Amler,et al.  The time sequence of tissue regeneration in human extraction wounds. , 1969, Oral surgery, oral medicine, and oral pathology.

[69]  B. Orban.  Clinical and histologic study of the surface characteristics of the gingiva. , 1948, Oral surgery, oral medicine, and oral pathology.