Influence of connective tissue grafts on implants in the aesthetic area: A systematic review. Are connective grafts essential?

Rocío Durante-Lacambra, Ricardo-Bahram Taheri, María-Isabel Leco-Berrocal, Carmen López-Carriches
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Abstract

Background: Achieving adequate aesthetics with implants in the anterior sector continues to be a challenge. One of the most studied and currently used techniques is the use of autologous connective tissue grafts to improve the peri-implant soft tissues in this area. Our objective is to analyze whether these techniques have a predictable impact on the tissues and aesthetics; and if it is worth performing them.

Material and methods: A bibliographic search was carried out, including different digital portals.

Results: A total of 8 articles were analyzed. This procedure did not have an impact on the hard tissue but did have an impact on gingival recessions and soft tissue thickness. Regarding aesthetics, the results are controversial. It seems that they can slightly improve the PES (Pink Esthetic Score or Pink Index). Also, a negative impact on the texture of the soft tissue has been found.

Conclusions: It is necessary to individualize each case (especially depending on the gingival biotype) since taking a connective tissue graft from the palate entails discomfort for the patient, and this technique is not free of complications. Key words:Dental implants, aesthetics, connective graft.

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结缔组织移植对美容领域植入物的影响:系统综述。结缔组织移植是否必要?
背景:在前牙部位植入种植体以获得足够的美感仍然是一项挑战。目前研究和使用最多的技术之一是使用自体结缔组织移植来改善该区域的种植体周围软组织。我们的目的是分析这些技术是否会对组织和美学产生可预测的影响,以及是否值得使用:结果:共分析了8篇文章:结果:共分析了 8 篇文章。结果:共分析了 8 篇文章。该手术对硬组织没有影响,但对牙龈凹陷和软组织厚度有影响。在美学方面,结果还存在争议。似乎可以稍微改善 PES(粉色美学评分或粉色指数)。此外,还发现了对软组织质地的负面影响:结论:从腭部进行结缔组织移植会给患者带来不适,而且这种技术也并非没有并发症,因此有必要根据每个病例的具体情况(特别是牙龈的生物类型)来确定。关键词:种植牙、美学、结缔组织移植。
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来源期刊
CiteScore
2.70
自引率
0.00%
发文量
118
期刊介绍: Indexed in PUBMED, PubMed Central® (PMC) since 2012 and SCOPUSJournal of Clinical and Experimental Dentistry is an Open Access (free access on-line) - http://www.medicinaoral.com/odo/indice.htm. The aim of the Journal of Clinical and Experimental Dentistry is: - Periodontology - Community and Preventive Dentistry - Esthetic Dentistry - Biomaterials and Bioengineering in Dentistry - Operative Dentistry and Endodontics - Prosthetic Dentistry - Orthodontics - Oral Medicine and Pathology - Odontostomatology for the disabled or special patients - Oral Surgery
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