scholarly journals Soft and Hard Tissue Management in Implant Therapy—Part I: Surgical Concepts

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Antonio D'Addona ◽  
Marjan Ghassemian ◽  
Luca Raffaelli ◽  
Paolo Francesco Manicone
Keyword(s):  
Soft Tissue ◽  
Surgical Techniques ◽  
Hard Tissue ◽  
Missing Teeth ◽  
Soft Tissue Profile ◽  
Biological Concepts ◽  
Implant Therapy ◽  
Tissue Grafts ◽  
Soft Tissue Grafts

Implant therapy has become a reliable and predictable treatment alternative for the replacement of missing teeth with conventional removable and fixed partial dentures. Recently though, in the pursuit for improved esthetics, the literature has dedicated a considerable amount of its research on the successful maintenance and regeneration of the surrounding gingiva and bone, which are lost following extraction of a tooth. Thoroughly analyzing the anatomic situation and well-planned treatment has become a requirement, because incorrectly planned and positioned implants may jeopardize long-term esthetic and functional prognosis. In addition, many types of biocompatible materials, autogenous hard and soft tissue grafts, and different surgical techniques have been developed, and their viability has been investigated. As a result, implant specialists have gained a greater understanding of the dynamics and anatomical and biological concepts of the periodontium and peri-implant tissues both at the surgical and prosthetic phases of treatment, which contributes to better soft and hard tissue management (SHTM). This may further contribute to achieving a superior final result which is obtained by having a harmonious soft tissue profile, a correctly placed and contoured final restoration, and the reestablishment of masticatory function and phonetics.

scholarly journals Soft and Hard Tissue Management in Implant Therapy—Part II: Prosthetic Concepts

2012 ◽  
Vol 2012 ◽  
pp. 1-6
Author(s):  
Paolo Francesco Manicone ◽  
Luca Raffaelli ◽  
Marjan Ghassemian ◽  
Antonio D'Addona
Keyword(s):  
Soft Tissue ◽  
Treatment Planning ◽  
Early Treatment ◽  
Soft Tissues ◽  
Tissue Architecture ◽  
Hard Tissue ◽  
Tissue Modeling ◽  
Soft Tissue Profile ◽  
Implant Therapy ◽  
Soft Tissue Modeling

The ongoing pursuit of aesthetic excellence in the field of implant therapy has incorporated prosthetic concepts in the early treatment-planning phase, as well as the previously discussed surgical concepts. The literature has addressed these prosthetic and laboratory approaches required to enhance and perfect the soft and hard tissue management (SHTM). After surgically providing an acceptable hard tissue architecture and adequate timing of loading of the implant, the prosthetic phase is responsible for the soft tissue modeling, through correctly planned and executed procedures, which induce a satisfactory soft tissue profile by considering the microvasculature, the abutment connection and positioning, and the implementation of an adequate provisional phase. The objectives are the modeling of the soft tissues through the use of a conforming periorestorative interface which will produce desired and stable results.

Long-Term Clinical and Radiographic Observation of Periimplant Tissues After Autogenous Soft Tissue Grafts

2017 ◽  
Vol 26 (5) ◽  
pp. 762-769 ◽  
Author(s):  
Won-Bae Park ◽  
Kyung Lhi Kang ◽  
Ji-Young Han
Keyword(s):  
Soft Tissue ◽  
Tissue Grafts ◽  
Soft Tissue Grafts

scholarly journals Surgical management of gingival recession using autogenous soft tissue grafts

2019 ◽  
Vol 3 (1) ◽  
Author(s):  
Peter Windisch ◽  
Balint Molnar
Keyword(s):  
Soft Tissue ◽  
Plastic Surgery ◽  
Gold Standard ◽  
Standard Treatment ◽  
Treatment Approach ◽  
Surgical Techniques ◽  
Gingival Recession ◽  
Tissue Grafts ◽  
Periodontal Plastic Surgery ◽  
Soft Tissue Grafts

Abstract One of the chief goals of periodontal plastic surgery is establishment of ideal pink esthetics through the reconstruction of gingival recessions. A gold standard treatment approach for coverage of gingival recession with predictable esthetic outcomes is the transplantation of autogenous soft tissue grafts. Various surgical techniques can be used in combination with autogenous soft tissue grafts for gingival recession coverage.

scholarly journals Sealing materials for post-extraction site: a systematic review and network meta-analysis

2021 ◽  
Author(s):  
Massimo Del Fabbro ◽  
Grazia Tommasato ◽  
Paolo Pesce ◽  
Andrea Ravidà ◽  
Shahnawaz Khijmatgar ◽  
...  
Keyword(s):  
Systematic Review ◽  
Soft Tissue ◽  
Bone Formation ◽  
Meta Analysis ◽  
Controlled Trials ◽  
New Bone Formation ◽  
Hard Tissue ◽  
Significant Difference ◽  
Tissue Grafts ◽  
Soft Tissue Grafts

Abstract Aim By means of a systematic review and network meta-analysis, this study aims to answer the following questions: (a) does the placement of a biomaterial over an extraction socket lead to better outcomes in terms of horizontal and vertical alveolar dimensional changes and percentage of new bone formation than healing without coverage? And (b) which biomaterial(s) provide(s) the better outcomes? Materials and methods Parallel and split-mouth randomized controlled trials treating ≥ 10 patients were included in this analysis. Studies were identified with MEDLINE (PubMed), Embase, Cochrane Central Register of Controlled Trials, and Scopus. Primary outcomes were preservation of horizontal and vertical alveolar dimension and new bone formation inside the socket. Both pairwise and network meta-analysis (NMA) were undertaken to obtain estimates for primary outcomes. For NMA, prediction intervals were calculated to estimate clinical efficacy, and SUCRA was used to rank the materials based on their performance; multidimensional ranking was used to rank treatments based on dissimilarity. The manuscript represents the proceedings of a consensus conference of the Italian Society of Osseointegration (IAO). Results Twelve trials were included in the qualitative and quantitative analysis: 312 sites were evaluated. Autologous soft tissue grafts were associated with better horizontal changes compared to resorbable membranes. A statistically significant difference in favor of resorbable membranes, when compared to no membrane, was found, with no statistically significant heterogeneity. For the comparison between crosslinked and non-crosslinked membranes, a statistically significant difference was found in favor of the latter and confirmed by histomorphometric NMA analysis. Given the relatively high heterogeneity detected in terms of treatment approaches, materials, and outcome assessment, the findings of the NMA must be interpreted cautiously. Conclusions Coverage of the healing site is associated with superior results compared to no coverage, but no specific sealing technique and/or biomaterial provides better results than others. RCTs with larger sample sizes are needed to better elucidate the trends emerged from the present analysis. Clinical relevance Autologous soft tissue grafts and membranes covering graft materials in post-extraction sites were proved to allow lower hard tissue shrinkage compared to the absence of coverage material with sealing effect. Histomorphometric analyses showed that non-crosslinked membranes provide improved hard tissue regeneration when compared to crosslinked ones.

scholarly journals Hybrid 3D Printing of Synthetic and Cell‐Laden Bioinks for Shape Retaining Soft Tissue Grafts

2019 ◽  
Vol 30 (3) ◽  
pp. 1907145 ◽  
Author(s):  
Sarah Van Belleghem ◽  
Leopoldo Torres ◽  
Marco Santoro ◽  
Bhushan Mahadik ◽  
Arley Wolfand ◽  
...  
Keyword(s):  
Soft Tissue ◽  
3D Printing ◽  
Tissue Grafts ◽  
Soft Tissue Grafts

Restoration of the Soft-tissue Margin in Single-tooth Implant in the Anterior Maxilla

2006 ◽  
Vol 32 (6) ◽  
pp. 286-290 ◽  
Author(s):  
Jamil Awad Shibli ◽  
Susana d'Avila
Keyword(s):  
Soft Tissue ◽  
Connective Tissue ◽  
Surgical Techniques ◽  
Soft Tissue Defect ◽  
Anterior Maxilla ◽  
Grafting Technique ◽  
Single Tooth ◽  
Implant Restoration ◽  
Tissue Grafts ◽  
Single Tooth Implant

Abstract Esthetic requirements for dental implant restoration have arisen in recent years. Despite several surgical techniques that have been developed, the treatment of the peri-implant soft-tissue defect is still difficult. The purpose of this clinical article is to describe a grafting technique using subepithelial connective tissue grafts to recontour soft-tissue margin discrepancy for single-tooth implant restorations in the anterior maxilla. After 2-year follow-up, this procedure shows that the use of connective tissue grafts can be a predictable approach to establish new and stable peri-implant soft-tissue margin.

Localized Alveolar Ridge Augmentation Using a Two-step Approach with Different Soft Tissue Grafts: A Clinical Report

2008 ◽  
Vol 9 (4) ◽  
pp. 99-106 ◽  
Author(s):  
Clemens Walter ◽  
Leonard Büttel ◽  
Roland Weiger
Keyword(s):  
Soft Tissue ◽  
Clinical Report ◽  
Alveolar Ridge ◽  
Class Iii ◽  
Alveolar Ridge Augmentation ◽  
Ridge Augmentation ◽  
Subepithelial Connective Tissue Graft ◽  
The Aesthetic ◽  
Tissue Grafts ◽  
Soft Tissue Grafts

Abstract Aim The purpose of this report is to present the use of different soft tissue grafting procedures for surgical ridge augmentation. Background Multiple augmentative procedures may be indicated for the esthetic reconstruction of edentulous alveolar ridge deformities due to unpredictable shrinkage of augmented tissues. Report A 38-year-old woman with a moderate Class III alveolar ridge defect received periodontal plastic surgery treatment using a combined onlay-interpositional graft procedure and a subepithelial connective tissue graft. Summary This case illustrates the aesthetic reconstruction of a moderate alveolar ridge defect using a twostep approach. Clinical Significance Using different soft tissue grafting procedures might be helpful in planning and treating moderate alveolar ridge defects. The time for remodelling of the augmented tissues needs to be respected before the final prosthesis is placed. Citation Walter C, Büttel L, Weiger R. Localized Alveolar Ridge Augmentation Using a Two-step Approach with Different Soft Tissue Grafts: A Clinical Report. J Contemp Dent Pract 2008 May; (9)4:099-106.

Sign in / Sign up

Export Citation Format

Share Document