Clinical study of flap design to increase the keratinized gingiva around implants: 4-year follow-up.
Identifieur interne : 000960 ( Main/Exploration ); précédent : 000959; suivant : 000961Clinical study of flap design to increase the keratinized gingiva around implants: 4-year follow-up.
Auteurs : Giovanni B. Bruschi [Italie] ; Roberto Crespi ; Paolo Capparé ; Enrico GherloneSource :
- The Journal of oral implantology [ 0160-6972 ] ; 2014.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Analyse de survie, Femelle, Gencive (anatomopathologie), Gingivoplastie (), Humains, Implants dentaires, Kératines, Lambeaux chirurgicaux (), Mandibule (), Maxillaire (), Mâle, Sujet âgé, Sujet âgé de 80 ans ou plus, Techniques de suture, Échec de restauration dentaire, Études de suivi, Études prospectives.
- MESH :
- anatomopathologie : Gencive.
- Adulte, Adulte d'âge moyen, Analyse de survie, Femelle, Gingivoplastie, Humains, Implants dentaires, Kératines, Lambeaux chirurgicaux, Mandibule, Maxillaire, Mâle, Sujet âgé, Sujet âgé de 80 ans ou plus, Techniques de suture, Échec de restauration dentaire, Études de suivi, Études prospectives.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Dental Implants, Dental Restoration Failure, Female, Follow-Up Studies, Gingiva (pathology), Gingivoplasty (methods), Humans, Keratins, Male, Mandible (surgery), Maxilla (surgery), Middle Aged, Prospective Studies, Surgical Flaps (surgery), Survival Analysis, Suture Techniques.
- MESH :
- chemical : Dental Implants, Keratins.
- methods : Gingivoplasty.
- pathology : Gingiva.
- surgery : Mandible, Maxilla, Surgical Flaps.
- Adult, Aged, Aged, 80 and over, Dental Restoration Failure, Female, Follow-Up Studies, Humans, Male, Middle Aged, Prospective Studies, Survival Analysis, Suture Techniques.
Abstract
Since the presence of keratinized gingiva is so important for peri-implant outcome, the aim of this study is to describe a partial thickness flap design to increase the amount of keratinized peri-implant tissue as well as its thickness. A total of 131 implants were placed in 85 patients: 103 implants (78.63%) in the mandible and 28 implants (21.37%) in the maxilla. Before implant placement in edentulous ridge the residual keratinized mucosa usually was measured with a periodontal probe in a buccal-palatal direction. A palatal or lingual incision was made to raise a partial thickness flap with the residual keratinized tissue. After implant placement the flap was apically repositioned and secured with loose periosteal sutures. Keratinized tissue levels were calculated at baseline, at 6 months, and every year follow-up. Measurements were reported for each implant diameter. At 4-year follow-up, implant survival rate of 87.79% was reported. Peri-implant keratinized mucosa confirmed clinical gain in all cases; mean levels at 1- and 4-year follow-ups were 7.26 ± 2.01 mm and 7.37 ± 2.12 mm, respectively. The levels remained stable over time. This flap design allows immediate correction of adaptation of the keratinized tissue around the implant, increasing the thickness and amount of the keratinized tissue.
DOI: 10.1563/AAID-JOI-D-11-00236
PubMed: 25106011
Affiliations:
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Bruschi</name><affiliation wicri:level="3"><nlm:affiliation>1 Private practice, Rome, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>1 Private practice, Rome</wicri:regionArea><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation></author><author><name sortKey="Crespi, Roberto" sort="Crespi, Roberto" uniqKey="Crespi R" first="Roberto" last="Crespi">Roberto Crespi</name></author><author><name sortKey="Cappare, Paolo" sort="Cappare, Paolo" uniqKey="Cappare P" first="Paolo" last="Capparé">Paolo Capparé</name></author><author><name sortKey="Gherlone, Enrico" sort="Gherlone, Enrico" uniqKey="Gherlone E" first="Enrico" last="Gherlone">Enrico Gherlone</name></author></analytic><series><title level="j">The Journal of oral implantology</title><idno type="ISSN">0160-6972</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Dental Implants</term><term>Dental Restoration Failure</term><term>Female</term><term>Follow-Up Studies</term><term>Gingiva (pathology)</term><term>Gingivoplasty (methods)</term><term>Humans</term><term>Keratins</term><term>Male</term><term>Mandible (surgery)</term><term>Maxilla (surgery)</term><term>Middle Aged</term><term>Prospective Studies</term><term>Surgical Flaps (surgery)</term><term>Survival Analysis</term><term>Suture Techniques</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Analyse de survie</term><term>Femelle</term><term>Gencive (anatomopathologie)</term><term>Gingivoplastie ()</term><term>Humains</term><term>Implants dentaires</term><term>Kératines</term><term>Lambeaux chirurgicaux ()</term><term>Mandibule ()</term><term>Maxillaire ()</term><term>Mâle</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Techniques de suture</term><term>Échec de restauration dentaire</term><term>Études de suivi</term><term>Études prospectives</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term><term>Keratins</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Gencive</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Gingivoplasty</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Gingiva</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Mandible</term><term>Maxilla</term><term>Surgical Flaps</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Dental Restoration Failure</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Prospective Studies</term><term>Survival Analysis</term><term>Suture Techniques</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Analyse de survie</term><term>Femelle</term><term>Gingivoplastie</term><term>Humains</term><term>Implants dentaires</term><term>Kératines</term><term>Lambeaux chirurgicaux</term><term>Mandibule</term><term>Maxillaire</term><term>Mâle</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Techniques de suture</term><term>Échec de restauration dentaire</term><term>Études de suivi</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Since the presence of keratinized gingiva is so important for peri-implant outcome, the aim of this study is to describe a partial thickness flap design to increase the amount of keratinized peri-implant tissue as well as its thickness. A total of 131 implants were placed in 85 patients: 103 implants (78.63%) in the mandible and 28 implants (21.37%) in the maxilla. Before implant placement in edentulous ridge the residual keratinized mucosa usually was measured with a periodontal probe in a buccal-palatal direction. A palatal or lingual incision was made to raise a partial thickness flap with the residual keratinized tissue. After implant placement the flap was apically repositioned and secured with loose periosteal sutures. Keratinized tissue levels were calculated at baseline, at 6 months, and every year follow-up. Measurements were reported for each implant diameter. At 4-year follow-up, implant survival rate of 87.79% was reported. Peri-implant keratinized mucosa confirmed clinical gain in all cases; mean levels at 1- and 4-year follow-ups were 7.26 ± 2.01 mm and 7.37 ± 2.12 mm, respectively. The levels remained stable over time. This flap design allows immediate correction of adaptation of the keratinized tissue around the implant, increasing the thickness and amount of the keratinized tissue.</div></front></TEI><affiliations><list><country><li>Italie</li></country><region><li>Latium</li></region><settlement><li>Rome</li></settlement></list><tree><noCountry><name sortKey="Cappare, Paolo" sort="Cappare, Paolo" uniqKey="Cappare P" first="Paolo" last="Capparé">Paolo Capparé</name><name sortKey="Crespi, Roberto" sort="Crespi, Roberto" uniqKey="Crespi R" first="Roberto" last="Crespi">Roberto Crespi</name><name sortKey="Gherlone, Enrico" sort="Gherlone, Enrico" uniqKey="Gherlone E" first="Enrico" last="Gherlone">Enrico Gherlone</name></noCountry><country name="Italie"><region name="Latium"><name sortKey="Bruschi, Giovanni B" sort="Bruschi, Giovanni B" uniqKey="Bruschi G" first="Giovanni B" last="Bruschi">Giovanni B. 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