scholarly journals EAO‐394/PO‐SU‐004 | Soft tissue stability around dental implants with subepithelial connective tissue graft

2021 ◽  
Vol 32 (S22) ◽  
pp. 136-136
Keyword(s):  
Soft Tissue ◽  
Connective Tissue ◽  
Dental Implants ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Subepithelial Connective Tissue Graft

scholarly journals How Thick Is the Oral Mucosa around Implants after Augmentation with Different Materials: A Systematic Review of the Effectiveness of Substitute Matrices in Comparison to Connective Tissue Grafts

2020 ◽  
Vol 21 (14) ◽  
pp. 5043
Author(s):  
Martin Lissek ◽  
Martin Boeker ◽  
Arndt Happe
Keyword(s):  
Systematic Review ◽  
Connective Tissue ◽  
Dental Implants ◽  
Oral Mucosa ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Significant Difference ◽  
Subepithelial Connective Tissue Graft ◽  
Tissue Grafts ◽  
Substitute Materials

This systematic review aimed to assess the effectiveness of xenogeneic collagen matrices (XCMs) and acellular dermal matrices (ADMs) in comparison to connective tissue grafts (CTGs) for the augmentation of oral mucosa around dental implants. MEDLINE and the Web of Science were searched for clinical studies that compared substitute materials for the augmentation of oral mucosa to the subepithelial connective tissue graft around dental implants during or after implantation. The review was conducted according to the recommendations of the PRISMA statement. From an initial search result set of 1050 references, seven articles were included in the review. The study designs were heterogeneous, so no meta-analysis could be performed. Both the CTG and either type of substitute material resulted in increased mucosal thickness. Four studies showed no significant difference, while three demonstrated a significant difference, favoring the CTGs over alternative materials. Soft tissue augmentation around dental implants is a safe procedure and leads to thicker mucosal tissue. The subepithelial connective tissue graft can still be regarded as the gold standard, but substitute materials may be an acceptable alternative in some situations, such as for pain-sensitive patients, among inexperienced surgeons, and for sites with an already thick biotype.

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