Clinical study of flap design to increase the keratinized gingiva around implants: 4-year follow-up.
Identifieur interne : 000B88 ( PubMed/Corpus ); précédent : 000B87; suivant : 000B89Clinical study of flap design to increase the keratinized gingiva around implants: 4-year follow-up.
Auteurs : Giovanni B. Bruschi ; Roberto Crespi ; Paolo Capparé ; Enrico GherloneSource :
- The Journal of oral implantology [ 0160-6972 ] ; 2014.
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
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Bruschi</name><affiliation><nlm:affiliation>1 Private practice, Rome, Italy.</nlm:affiliation></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></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2014">2014</date><idno type="RBID">pubmed:25106011</idno><idno type="pmid">25106011</idno><idno type="doi">10.1563/AAID-JOI-D-11-00236</idno><idno type="wicri:Area/PubMed/Corpus">000B88</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000B88</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Clinical study of flap design to increase the keratinized gingiva around implants: 4-year follow-up.</title><author><name sortKey="Bruschi, Giovanni B" sort="Bruschi, Giovanni B" uniqKey="Bruschi G" first="Giovanni B" last="Bruschi">Giovanni B. Bruschi</name><affiliation><nlm:affiliation>1 Private practice, Rome, Italy.</nlm:affiliation></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="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term><term>Keratins</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></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><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25106011</PMID><DateCompleted><Year>2014</Year><Month>09</Month><Day>25</Day></DateCompleted><DateRevised><Year>2014</Year><Month>08</Month><Day>09</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0160-6972</ISSN><JournalIssue CitedMedium="Print"><Volume>40</Volume><Issue>4</Issue><PubDate><Year>2014</Year><Month>Aug</Month></PubDate></JournalIssue><Title>The Journal of oral implantology</Title><ISOAbbreviation>J Oral Implantol</ISOAbbreviation></Journal><ArticleTitle>Clinical study of flap design to increase the keratinized gingiva around implants: 4-year follow-up.</ArticleTitle><Pagination><MedlinePgn>459-64</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1563/AAID-JOI-D-11-00236</ELocationID><Abstract><AbstractText>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.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Bruschi</LastName><ForeName>Giovanni B</ForeName><Initials>GB</Initials><AffiliationInfo><Affiliation>1 Private practice, Rome, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Crespi</LastName><ForeName>Roberto</ForeName><Initials>R</Initials></Author><Author ValidYN="Y"><LastName>Capparé</LastName><ForeName>Paolo</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Gherlone</LastName><ForeName>Enrico</ForeName><Initials>E</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016430">Clinical Trial</PublicationType><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Oral Implantol</MedlineTA><NlmUniqueID>7801086</NlmUniqueID><ISSNLinking>0160-6972</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D015921">Dental Implants</NameOfSubstance></Chemical><Chemical><RegistryNumber>68238-35-7</RegistryNumber><NameOfSubstance UI="D007633">Keratins</NameOfSubstance></Chemical></ChemicalList><CitationSubset>D</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015921" MajorTopicYN="Y">Dental Implants</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019232" MajorTopicYN="N">Dental Restoration Failure</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005881" MajorTopicYN="N">Gingiva</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005893" MajorTopicYN="N">Gingivoplasty</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007633" MajorTopicYN="N">Keratins</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008334" MajorTopicYN="N">Mandible</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008437" MajorTopicYN="N">Maxilla</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013524" MajorTopicYN="N">Surgical Flaps</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016019" MajorTopicYN="N">Survival Analysis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013536" MajorTopicYN="N">Suture Techniques</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">partial thickness flap</Keyword><Keyword MajorTopicYN="N">peri-implant tissue</Keyword><Keyword MajorTopicYN="N">secondary intention healing</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>8</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>8</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2014</Year><Month>9</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">25106011</ArticleId><ArticleId IdType="doi">10.1563/AAID-JOI-D-11-00236</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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