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The effect of different mucosal thickness on implant crestal bone loss

Year 2022, Volume: 5 Issue: 1, 1 - 12, 31.05.2022
https://doi.org/10.33204/mucosa.1014258

Abstract

A dental implant is a treatment option that is widely used nowadays and provides to giving the aesthetic, function, and phonation back to the patient in dental deficiencies. Nevertheless, the inefficacies of dental implants also draw attention for various reasons. Factors causing early period implant inefficacies are being analyzed and reasons that may be affecting marginal bone loss are being elaborated. In the literature, factors causing marginal bone loss such as premature prosthetic loading, neglected cement residues at the prosthesis stage, micro-gap foundation, infection foundation on the surgery region and traumatic surgery draws attention. One of these reasons is the thickness of the mucosa covering the region that the implant is placed (phenotype). The purpose of our review is to discuss the effect of mucosal thickness in the surgical area on the marginal bone loss in the implant area, within the scope of the literature.

References

  • Tunali B. Multi-disipliner bir yaklaşımla oral implantoloji. Nobel Tıp Kitabevleri 2000;p.1-14.
  • Albrektsson T, Zarb G, Worthington P, Eriksson AR. The long-term efficacy of currently used dental implants: a review and proposed criteria of success. Int J Oral Maxillofac Implants 1986;1:11-25.
  • Suarez-Lopez del Amo F, Lin GH, Monje A, Galindo-Moreno P, Wang HL. Influence of soft tissue thickness on peri-implant marginal bone loss: a systematic review and meta-analysis. J Periodontol 2016;87:690-9.
  • Lang NP, Lindhe J. Clinical periodontology and implant dentistry, 2 Volume Set, John Wiley&Sons, 2015.
  • Gargiulo AW, Wentz FM, Orban B. Dimensions and relations of the dentogingival junction in humans. J Periodontol 1961;32:261-7.
  • Ivanovski S, Lee R. Comparison of peri-implant and periodontal marginal soft tissues in health and disease. Periodontol 2000 2018;76:116-30.
  • Diaz-Sanchez M, Soto-Penaloza D, Penarrocha-Oltra D, Penarrocha-Diago M. Influence of supracrestal tissue attachment thickness on radiographic bone level around dental implants: a systematic review and meta-analysis. J Periodontal Res 2019;54:573-88.
  • Berglundh TY, Lindhe J, Ericsson I, Marinello CP, Liljenberg B, Thornsen P. The soft tissue barrier at implants and teeth. Clin Oral Implants Res 1991;2:81-90.
  • Abrahamsson I, Berglundh T, Wennstrom J, Lindhe J. The peri-implant hard and soft tissues at different implant systems. A comparative study in the dog. Clin Oral Implants Res 1996;7:212-9.
  • Abrahamsson I, Zitzmann NU, Berglundh T, Linder E, Wennerberg A, Lindhe J. The mucosal attachment to titanium implants with different surface characteristics: an experimental study in dogs. J Clin Periodontol 2002;29:448-55.
  • Moon IS, Berglundh T, Abrahamsson I, Linder E, Lindhe J. The barrier between the keratinized mucosa and the dental implant: an experimental study in the dog. J Clin Periodontol 1999;26:658-63.
  • Chackartchi T, Romanos GE, Sculean A. Soft tissue-related complications and management around dental implants. Periodontol 2000 2019;81:124-38.
  • Obreja K, Ramanauskaite A, Begic A, Galarraga-Vinueza ME, Parvini P, Schwarz F. The influence of soft-tissue volume grafting on the maintenance of peri-implant tissue health and stability. Int J Implant Dent 2021;7:15.
  • Manicone PF, Raffaelli L, Ghassemian M, D’Addona A. Soft and hard tissue management in implant therapy-part II: prosthetic concepts. Int J Biomater 2012;2012:356817.
  • Miller Jr PD. Root coverage using the free soft tissue autograft following citric acid application. III. A successful and predictalbe procedure in areas of deep-wide recession. Int J Periodontics Restorative Dent 1985;5:14-36.
  • Wiesner G, Esposito M, Worthington H, Schlee M. Connective tissue grafts for thickening peri-implant tissues at implant placement. One-year results from an explanatory split-mouth randomised controlled clinical trial. Eur J Oral Implantol 2010;3:27-35.
  • Puzio M, Hadzik J, Blaszczyszyn A, Gedrange T, Dominiak M. Soft tissue augmentation around dental implants with connective tissue graft (CTG) and xenogenic collagen matrix (XCM). 1-year randomized control trail. Ann Anat 2020;230:151484.
  • Akcali A, Nizam N. Alveol kret defektlerinin tedavisinde yumuşak doku ogmentasyon yöntemleri: literatür derlemesi. Ege Üniversitesi Diş Hekimliği Fakültesi Dergisi 2014;35:1-9.
  • Bengazi F, Botticelli D, Favero V, Perini A, Urbizo Velez J, Lang NP. Influence of presence or absence of keratinized mucosa on the alveolar bony crest level as it relates to different buccal marginal bone thicknesses. An experimental study in dogs. Clin Oral Implants Res 2014;25:1065-71.
  • Wennstrom JL, Derks J. Is there a need for keratinized mucosa around implants to maintain health and tissue stability?. Clin Oral Implants Res 2012;23:136-46.
  • Longoni S, Tinto M, Pacifico C, Sartori M, Andreano A. Effect of peri-implant keratinized tissue width on tissue health and stability: systematic review and meta-analysis. Int J Oral Maxillofac Implants 2019;34:1307-17.
  • Bouri A Jr, Bissada N, Al-Zahrani MS, Faddoul F, Nouneh I. Width of keratinized gingiva and the health status of the supporting tissues around dental implants. Int J Oral Maxillofac Implants 2008;23:323-6.
  • Shimomoto T, Nakano T, Shintani A, Ono S, Inoue M, Yatani H. Evaluation of the effect of keratinized mucosa on peri-implant tissue health using a multivariate analysis. J Prosthodont Res 2021;65:198-201.
  • Roccuzzo M, Grasso G, Dalmasso P. Keratinized mucosa around implants in partially edentulous posterior mandible: 10-year results of a prospective comparative study. Clin Oral Implants Res 2016;27:491-6.
  • Kim BS, Kim YK, Yun PY, et al. Evaluation of peri-implant tissue response according to the presence of keratinized mucosa. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;107:e24-8.
  • Linkevicius T, Apse P, Grybauskas S, Puisys A. Reaction of crestal bone around implants depending on mucosal tissue thickness. A 1-year prospective clinical study. Stomatologija 2009;11:83-91.
  • Linkevicius T, Apse P, Grybauskas S, Puisys A. The influence of soft tissue thickness on crestal bone changes around implants: a 1-year prospective controlled clinical trial. Int J Oral Maxillofac Implants 2009;24:712-9.
  • Vervaeke S, Dierens M, Besseler J, De Bruyn H. The influence of initial soft tissue thickness on peri-implant bone remodeling. Clin Implant Dent Relat Res 2014;16:238-47.
  • Linkevicius T, Puisys A, Steigmann M, Vindasiute E, Linkeviciene L. Influence of vertical soft tissue thickness on crestal bone changes around implants with platform switching: a comparative clinical study. Clin Implant Dent Relat Res 2015;17:1228-36.
  • Bruschi GB, Crespi R, Cappare P, Grande N, Bruschi E, Gherlone E. Radiographic evaluation of crestal bone levels of delayed implants at medium-term follow-up. Int J Oral Maxillofac Implants 2014;29:441-7.
  • Jeong SM, Choi BH, Kim J, et al. A 1-year prospective clinical study of soft tissue conditions and marginal bone changes around dental implants after flapless implant surgery. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011;111:41-6.
  • Canullo L, Camacho-Alonso F, Tallarico M, Meloni SM, Xhanari E, Penarrocha-Oltra D. Mucosa thickness and peri-implant crestal bone stability: a clinical and histologic prospective cohort trial. Int J Oral Maxillofac Implants 2017;32:675-81.
  • Spinato S, Stacchi C, Lombardi T, Bernardello F, Messina M, Zaffe D. Biological width establishment around dental implants is influenced by abutment height irrespective of vertical mucosal thickness: a cluster randomized controlled trial. Clin Oral Implants Res 2019;30:649-59.
  • Garaicoa-Pazmino C, Mendonca G, Ou A, et al. Impact of mucosal phenotype on marginal bone levels around tissue level implants: A prospective controlled trial. J Periodontol 2021;92:771-83.
  • Gharpure AS, Latimer JM, Aljofi FE, Kahng JH, Daubert DM. Role of thin gingival phenotype and inadequate keratinized mucosa width (< 2mm) as risk indicators for peri-implantitis and peri-implant mucositis. J Periodontol 2021;92:1687-96.
  • Misch CE, Perel ML, Wang HL, et al. Implant success, survival, and failure: the International Congress of Oral Implantologists (ICOI) pisa consensus conference. Implant Dent 2008;17:5-15.
  • Albrektsson T, Chrcanovic B, Ostman PO, Sennerby L. Initial and long-term crestal bone responses to modern dental implants. Periodontol 2000 2017;73:41-50.
  • Piattelli A, Vrespa G, Petrone G, Iezzi G, Annibali S, Scarano A. Role of the microgap between implant and abutment: a retrospective histologic evaluation in monkeys. J Periodontol 2003;74:346-52.
  • Broggini N, McManus LM, Hermann JS, et al. Peri-implant inflammation defined by the implant-abutment interface. J Dent Res 2006;85:473-8.
  • Schwarz F, Alcoforado G, Nelson K, et al. Impact of implant-abutment connection, positioning of the machined collar/microgap, and platform switching on crestal bone level changes. Camlog foundation consensus report. Clin Oral Implants Res 2014;25:1301-3.
  • Lazzara RJ, Porter SS. Platform switching: a new concept in implant dentistry for controlling postrestorative crestal bone levels. Int J Periodontics Restorative Dent 2006;26:9-17.
  • Strietzel FP, Neumann K, Hertel M. Impact of platform switching on marginal peri-implant bone-level changes. A systematic review and metaanalysis. Clin Oral Implants Res 2015;26:342-58.
  • Canullo L, Fedele GR, Iannello G, Jepsen S. Platform switching and marginal bone-level alterations: the results of a randomized-controlled trial.Clin Oral Implants Res 2010;21:115-21.
  • Linkevicius T, Apse P, Grybauskas S, Puisys A. Influence of thin mucosal tissues on crestal bone stability around implants with platform switching: a 1-year pilot study. J Oral Maxillofac Surg 2010;68:2272-7.

Farklı mukozal kalınlıkların implant çevresi krestal kemik kaybına etkisi

Year 2022, Volume: 5 Issue: 1, 1 - 12, 31.05.2022
https://doi.org/10.33204/mucosa.1014258

Abstract

Dental implantlar günümüzde sıklıkla kullanılan ve diş eksikliklerinde hastaların estetik, fonksiyon ve
fonasyonunun iadesini sağlayan tedavi seçenekleridir. Buna rağmen, çeşitli nedenlere bağlı olarak, dental implantların başarısızlıkları da dikkati çekmektedir. Erken dönem implant başarısızlıklarına sebep olan faktörler araştırılmakta ve marjinal kemik kaybına etkisi olabilecek olan nedenlerin üzerinde durulmaktadır. Literatürde implant çevresi marjinal kemik kaybıyla ilgili araştırılan faktörler arasında prematür protetik yükleme, protez aşamasında göz ardı edilen siman artıkları, mikro aralık oluşumu, cerrahi sahada enfeksiyon oluşumu ve travmatik cerrahi gibi sebepler göze çarpmaktadır. Bu nedenlerden biri de implant yerleştirilecek sahayı örten mukozanın kalınlığıdır (fenotip). Derlememizin amacı cerrahi yapılacak bölgedeki mukozal kalınlığın implant çevresi marjinal kemik kaybı üzerine etkisini güncel literatür desteğinde tartışmaktır.

References

  • Tunali B. Multi-disipliner bir yaklaşımla oral implantoloji. Nobel Tıp Kitabevleri 2000;p.1-14.
  • Albrektsson T, Zarb G, Worthington P, Eriksson AR. The long-term efficacy of currently used dental implants: a review and proposed criteria of success. Int J Oral Maxillofac Implants 1986;1:11-25.
  • Suarez-Lopez del Amo F, Lin GH, Monje A, Galindo-Moreno P, Wang HL. Influence of soft tissue thickness on peri-implant marginal bone loss: a systematic review and meta-analysis. J Periodontol 2016;87:690-9.
  • Lang NP, Lindhe J. Clinical periodontology and implant dentistry, 2 Volume Set, John Wiley&Sons, 2015.
  • Gargiulo AW, Wentz FM, Orban B. Dimensions and relations of the dentogingival junction in humans. J Periodontol 1961;32:261-7.
  • Ivanovski S, Lee R. Comparison of peri-implant and periodontal marginal soft tissues in health and disease. Periodontol 2000 2018;76:116-30.
  • Diaz-Sanchez M, Soto-Penaloza D, Penarrocha-Oltra D, Penarrocha-Diago M. Influence of supracrestal tissue attachment thickness on radiographic bone level around dental implants: a systematic review and meta-analysis. J Periodontal Res 2019;54:573-88.
  • Berglundh TY, Lindhe J, Ericsson I, Marinello CP, Liljenberg B, Thornsen P. The soft tissue barrier at implants and teeth. Clin Oral Implants Res 1991;2:81-90.
  • Abrahamsson I, Berglundh T, Wennstrom J, Lindhe J. The peri-implant hard and soft tissues at different implant systems. A comparative study in the dog. Clin Oral Implants Res 1996;7:212-9.
  • Abrahamsson I, Zitzmann NU, Berglundh T, Linder E, Wennerberg A, Lindhe J. The mucosal attachment to titanium implants with different surface characteristics: an experimental study in dogs. J Clin Periodontol 2002;29:448-55.
  • Moon IS, Berglundh T, Abrahamsson I, Linder E, Lindhe J. The barrier between the keratinized mucosa and the dental implant: an experimental study in the dog. J Clin Periodontol 1999;26:658-63.
  • Chackartchi T, Romanos GE, Sculean A. Soft tissue-related complications and management around dental implants. Periodontol 2000 2019;81:124-38.
  • Obreja K, Ramanauskaite A, Begic A, Galarraga-Vinueza ME, Parvini P, Schwarz F. The influence of soft-tissue volume grafting on the maintenance of peri-implant tissue health and stability. Int J Implant Dent 2021;7:15.
  • Manicone PF, Raffaelli L, Ghassemian M, D’Addona A. Soft and hard tissue management in implant therapy-part II: prosthetic concepts. Int J Biomater 2012;2012:356817.
  • Miller Jr PD. Root coverage using the free soft tissue autograft following citric acid application. III. A successful and predictalbe procedure in areas of deep-wide recession. Int J Periodontics Restorative Dent 1985;5:14-36.
  • Wiesner G, Esposito M, Worthington H, Schlee M. Connective tissue grafts for thickening peri-implant tissues at implant placement. One-year results from an explanatory split-mouth randomised controlled clinical trial. Eur J Oral Implantol 2010;3:27-35.
  • Puzio M, Hadzik J, Blaszczyszyn A, Gedrange T, Dominiak M. Soft tissue augmentation around dental implants with connective tissue graft (CTG) and xenogenic collagen matrix (XCM). 1-year randomized control trail. Ann Anat 2020;230:151484.
  • Akcali A, Nizam N. Alveol kret defektlerinin tedavisinde yumuşak doku ogmentasyon yöntemleri: literatür derlemesi. Ege Üniversitesi Diş Hekimliği Fakültesi Dergisi 2014;35:1-9.
  • Bengazi F, Botticelli D, Favero V, Perini A, Urbizo Velez J, Lang NP. Influence of presence or absence of keratinized mucosa on the alveolar bony crest level as it relates to different buccal marginal bone thicknesses. An experimental study in dogs. Clin Oral Implants Res 2014;25:1065-71.
  • Wennstrom JL, Derks J. Is there a need for keratinized mucosa around implants to maintain health and tissue stability?. Clin Oral Implants Res 2012;23:136-46.
  • Longoni S, Tinto M, Pacifico C, Sartori M, Andreano A. Effect of peri-implant keratinized tissue width on tissue health and stability: systematic review and meta-analysis. Int J Oral Maxillofac Implants 2019;34:1307-17.
  • Bouri A Jr, Bissada N, Al-Zahrani MS, Faddoul F, Nouneh I. Width of keratinized gingiva and the health status of the supporting tissues around dental implants. Int J Oral Maxillofac Implants 2008;23:323-6.
  • Shimomoto T, Nakano T, Shintani A, Ono S, Inoue M, Yatani H. Evaluation of the effect of keratinized mucosa on peri-implant tissue health using a multivariate analysis. J Prosthodont Res 2021;65:198-201.
  • Roccuzzo M, Grasso G, Dalmasso P. Keratinized mucosa around implants in partially edentulous posterior mandible: 10-year results of a prospective comparative study. Clin Oral Implants Res 2016;27:491-6.
  • Kim BS, Kim YK, Yun PY, et al. Evaluation of peri-implant tissue response according to the presence of keratinized mucosa. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;107:e24-8.
  • Linkevicius T, Apse P, Grybauskas S, Puisys A. Reaction of crestal bone around implants depending on mucosal tissue thickness. A 1-year prospective clinical study. Stomatologija 2009;11:83-91.
  • Linkevicius T, Apse P, Grybauskas S, Puisys A. The influence of soft tissue thickness on crestal bone changes around implants: a 1-year prospective controlled clinical trial. Int J Oral Maxillofac Implants 2009;24:712-9.
  • Vervaeke S, Dierens M, Besseler J, De Bruyn H. The influence of initial soft tissue thickness on peri-implant bone remodeling. Clin Implant Dent Relat Res 2014;16:238-47.
  • Linkevicius T, Puisys A, Steigmann M, Vindasiute E, Linkeviciene L. Influence of vertical soft tissue thickness on crestal bone changes around implants with platform switching: a comparative clinical study. Clin Implant Dent Relat Res 2015;17:1228-36.
  • Bruschi GB, Crespi R, Cappare P, Grande N, Bruschi E, Gherlone E. Radiographic evaluation of crestal bone levels of delayed implants at medium-term follow-up. Int J Oral Maxillofac Implants 2014;29:441-7.
  • Jeong SM, Choi BH, Kim J, et al. A 1-year prospective clinical study of soft tissue conditions and marginal bone changes around dental implants after flapless implant surgery. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011;111:41-6.
  • Canullo L, Camacho-Alonso F, Tallarico M, Meloni SM, Xhanari E, Penarrocha-Oltra D. Mucosa thickness and peri-implant crestal bone stability: a clinical and histologic prospective cohort trial. Int J Oral Maxillofac Implants 2017;32:675-81.
  • Spinato S, Stacchi C, Lombardi T, Bernardello F, Messina M, Zaffe D. Biological width establishment around dental implants is influenced by abutment height irrespective of vertical mucosal thickness: a cluster randomized controlled trial. Clin Oral Implants Res 2019;30:649-59.
  • Garaicoa-Pazmino C, Mendonca G, Ou A, et al. Impact of mucosal phenotype on marginal bone levels around tissue level implants: A prospective controlled trial. J Periodontol 2021;92:771-83.
  • Gharpure AS, Latimer JM, Aljofi FE, Kahng JH, Daubert DM. Role of thin gingival phenotype and inadequate keratinized mucosa width (< 2mm) as risk indicators for peri-implantitis and peri-implant mucositis. J Periodontol 2021;92:1687-96.
  • Misch CE, Perel ML, Wang HL, et al. Implant success, survival, and failure: the International Congress of Oral Implantologists (ICOI) pisa consensus conference. Implant Dent 2008;17:5-15.
  • Albrektsson T, Chrcanovic B, Ostman PO, Sennerby L. Initial and long-term crestal bone responses to modern dental implants. Periodontol 2000 2017;73:41-50.
  • Piattelli A, Vrespa G, Petrone G, Iezzi G, Annibali S, Scarano A. Role of the microgap between implant and abutment: a retrospective histologic evaluation in monkeys. J Periodontol 2003;74:346-52.
  • Broggini N, McManus LM, Hermann JS, et al. Peri-implant inflammation defined by the implant-abutment interface. J Dent Res 2006;85:473-8.
  • Schwarz F, Alcoforado G, Nelson K, et al. Impact of implant-abutment connection, positioning of the machined collar/microgap, and platform switching on crestal bone level changes. Camlog foundation consensus report. Clin Oral Implants Res 2014;25:1301-3.
  • Lazzara RJ, Porter SS. Platform switching: a new concept in implant dentistry for controlling postrestorative crestal bone levels. Int J Periodontics Restorative Dent 2006;26:9-17.
  • Strietzel FP, Neumann K, Hertel M. Impact of platform switching on marginal peri-implant bone-level changes. A systematic review and metaanalysis. Clin Oral Implants Res 2015;26:342-58.
  • Canullo L, Fedele GR, Iannello G, Jepsen S. Platform switching and marginal bone-level alterations: the results of a randomized-controlled trial.Clin Oral Implants Res 2010;21:115-21.
  • Linkevicius T, Apse P, Grybauskas S, Puisys A. Influence of thin mucosal tissues on crestal bone stability around implants with platform switching: a 1-year pilot study. J Oral Maxillofac Surg 2010;68:2272-7.
There are 44 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Review Articles
Authors

Büşra Yılmaz 0000-0003-3631-3933

Mustafa Tunalı 0000-0002-1251-3431

Publication Date May 31, 2022
Published in Issue Year 2022 Volume: 5 Issue: 1

Cite

Vancouver Yılmaz B, Tunalı M. The effect of different mucosal thickness on implant crestal bone loss. Mucosa. 2022;5(1):1-12.