Palavras-chave
Keratinized gingiva
Dental implants
Como Citar
Resumo
Background: The effect of keratinized tissue width on the peri-implant health has not been well elucidated. The results of previous studies on this topic are controversial and the role of keratinized tissue width in the long-term success of dental implants has not been confirmed. This cross-sectional study aimed to assess the correlation of keratinized tissue width with periodontal indices around implant-supported fixed partial dentures (FPDs).
Methods: This cross-sectional study evaluated 73 implants. Patients underwent periodontal examinations, including measurement of plaque index (PI), gingival index (GI), clinical probing depth (PD), bleeding on probing (BOP), marginal gingival recession, keratinized mucosa width and radiographic marginal bone level. Data were analyzed using SPSS.
Results: The mean GI, PI and marginal gingival recession around implants with <2 mm width of keratinized gingiva were greater than the corresponding values around implants with keratinized tissue width of ≥2 mm. However, this difference was not statistically significant (P>0.05). No significant differences were noted in PD and radiographic marginal bone level between the two implant groups with keratinized tissue width <2 mm and ≥2 mm. Thus, no correlation was found between the keratinized tissue width and the measured indices.
Conclusion: Although this study did not show a significant correlation between the keratinized tissue width and peri-implant tissue health and consequently the implant success rate, long-term interventional studies are required to make a final judgment in this respect.
Referências
2. Ladwein C, Schmelzeisen R, Nelson K, Fluegge TV, Fretwurst T. Is the presence of keratinized mucosa associated with periimplant tissue health?: A clinical cross-sectional analysis. International Journal of Implant Dentistry 2015;1:11.
3. Lin GH, Chan HL, Wang HL .The Significance of Keratinized Mucosa on Implant Health: 1. A Systematic Review. J Periodontol December 2013;84(12):1755-1767.
4. Esper LA, Ferreira SB, Kaizer ROF, Pompe ALc, Almeida iF. The Role of Keratinized Mucosa in Peri-Implant Health. Cleft Palate–Craniofacial Journal 2012;49(2):167-170.
5. 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(2):323-6.
6. Abrahamsson I, Berglundh T, Wennström J, Lindhe J. The peri‐implant hard and soft tissues at different implant systems: A comparative study in the dog. Lindhe First published: September 1996 ;7:212-219.
7. Lang NP, Loe H. The relationship between the width of keratinized gingiva and gingival health. J Periodontol. 1972;43:623–627.
8. Reddy VK, Parthasarathy H, Lochana P. Evaluating the clinical and esthetic outcome of apically positioned flap 2. technique in augmentation of keratinized gingiva around dental implants. Contemporary Clinical Dentistry 2013;4(3):319-324.
9. Newman MG, Takei H, Klokkevold PR, Carranza FA. Carranza's clinical periodontology. Elsevier health sciences, 11th edition: 2012;3(2):123.
10. Newman MG, Takei H, Klokkevold PR, Carranza FA. Carranza's clinical periodontology. Elsevier health sciences, 11th edition: 2012. P. 460-1, 452-60.
11. Albrektsson T, Zarb G, Worthington P, Eriksson AR. The Long-Term Efficacy of Currently Used Dental Implants: A Review and Proposed Criteria of Success, JOMI (1997 © Quintessence Pub. Co.): 1986;1(1): 11 - 25.
12. Lang NP, Loe H: The relationship between the width of keratinized gingiva and gingival health, J Periodontol 43: 623- 627, 1972.
13. Wennstrom JL; Lack of association between the width of attached gingiva and development of soft tissue recession: a 5- year longitudinalstudy, J Clin Periodontol 14:181-184.1987.
14. Chung DM, OH TJ, Shotwell JL et al: Significance of keratinized mucosa in maintenance of dental implants with different surfaces, J Periodontol 77:1410-1420, 2006.
15. Esfahanian V, Mahabadi M, Soleimani M, Dehdarian A. Association between keratinized tissue width and periodental indices around implant supported fixed prosthesis. J Mash Dent Sch 2015; 40(1): 1-8.
16. Adibrad M, Shahabuei M, Sahabi M. Significance of the width of keratinized mucosa on the health status of the supporting tissue around implants supporting overdentures. J Oral Implantol. 2009;35:232–237.
17. Esposito M, Coulthard P, Thomsen P et al: The role of implant surface modification, Shape and material on the success of osseointegrated dental implants: a Cochrane systematic review, Eur J Prosthodontics Restorative Dent.2005;13:15-31,
INTEREST CONFLICTS
The authors declare in the conflict of interest.
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The authors declare self-financing
Os autores são detentores dos direitos autorais mediante uma licença CCBY 4.0.