A protocol for maintaining or increasing the width of masticatory mucosa around submerged implants: a 1-year prospective study on 53 patients.
Identifieur interne : 000C26 ( Ncbi/Checkpoint ); précédent : 000C25; suivant : 000C27A protocol for maintaining or increasing the width of masticatory mucosa around submerged implants: a 1-year prospective study on 53 patients.
Auteurs : R. Barone [Italie] ; C. Clauser ; R. Grassi ; M. Merli ; G P PratoSource :
- The International journal of periodontics & restorative dentistry [ 0198-7569 ] ; 1998.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Dentisterie esthétique, Desmodonte (), Desmodonte (anatomopathologie), Femelle, Gencive (transplantation), Gingivectomie, Humains, Hygiène buccodentaire, Implants dentaires, Lambeaux chirurgicaux, Mandibule (), Mâchoire partiellement édentée (), Mâchoire partiellement édentée (rééducation et réadaptation), Mâle, Parodonte (), Parodonte (anatomie et histologie), Piliers dentaires, Processus alvéolaire (anatomopathologie), Protocoles cliniques, Sujet âgé, Études de suivi, Études prospectives.
- MESH :
- anatomie et histologie : Parodonte.
- anatomopathologie : Desmodonte, Processus alvéolaire.
- rééducation et réadaptation : Mâchoire partiellement édentée.
- Adulte, Adulte d'âge moyen, Dentisterie esthétique, Desmodonte, Femelle, Gencive, Gingivectomie, Humains, Hygiène buccodentaire, Implants dentaires, Lambeaux chirurgicaux, Mandibule, Mâchoire partiellement édentée, Mâle, Parodonte, Piliers dentaires, Protocoles cliniques, Sujet âgé, Études de suivi, Études prospectives.
English descriptors
- KwdEn :
- Adult, Aged, Alveolar Process (pathology), Clinical Protocols, Dental Abutments, Dental Implants, Esthetics, Dental, Female, Follow-Up Studies, Gingiva (transplantation), Gingivectomy, Humans, Jaw, Edentulous, Partially (rehabilitation), Jaw, Edentulous, Partially (surgery), Male, Mandible (surgery), Middle Aged, Oral Hygiene, Periodontal Ligament (pathology), Periodontal Ligament (surgery), Periodontium (anatomy & histology), Periodontium (surgery), Prospective Studies, Surgical Flaps.
- MESH :
- chemical : Dental Implants.
- anatomy & histology : Periodontium.
- pathology : Alveolar Process, Periodontal Ligament.
- rehabilitation : Jaw, Edentulous, Partially.
- surgery : Jaw, Edentulous, Partially, Mandible, Periodontal Ligament, Periodontium.
- transplantation : Gingiva.
- Adult, Aged, Clinical Protocols, Dental Abutments, Esthetics, Dental, Female, Follow-Up Studies, Gingivectomy, Humans, Male, Middle Aged, Oral Hygiene, Prospective Studies, Surgical Flaps.
Abstract
Masticatory mucosa around implants may be useful to enhance esthetics and/or plaque control. This study proposes simplified guidelines for maintaining or obtaining a minimal amount of masticatory mucosa around submerged implants in cases of partial edentulism, and for keeping the need for additional surgery to a minimum. Free gingival grafts were used in the mandibular arch when the width of buccal masticatory mucosa was less than 2 mm. The width of masticatory mucosa expected to be available for attachment to the bone surface buccal to implants was estimated by measuring the distance between the emergence of the implant from bone and the mucogingival junction. When this distance was 3 mm or less, the use of an apically positioned flap for implant exposure was preferred over gingivectomy. The amount of masticatory mucosa buccal to implants was measured 2 weeks, 6 months, and 12 months after implant exposure. In no case was the width of masticatory mucosa less than 2 mm at 1 year. Therefore, this protocol is recommended for the treatment of cases where the presence of an adequate amount of masticatory mucosa is necessary to ensure a satisfying appearance or is useful for facilitating oral hygiene.
PubMed: 12693424
Affiliations:
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Grassi</name></author><author><name sortKey="Merli, M" sort="Merli, M" uniqKey="Merli M" first="M" last="Merli">M. 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Barone</name><affiliation wicri:level="1"><nlm:affiliation>Department of Periodontics, Dental School, University of Siena, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Periodontics, Dental School, University of Siena</wicri:regionArea><wicri:noRegion>University of Siena</wicri:noRegion></affiliation></author><author><name sortKey="Clauser, C" sort="Clauser, C" uniqKey="Clauser C" first="C" last="Clauser">C. Clauser</name></author><author><name sortKey="Grassi, R" sort="Grassi, R" uniqKey="Grassi R" first="R" last="Grassi">R. Grassi</name></author><author><name sortKey="Merli, M" sort="Merli, M" uniqKey="Merli M" first="M" last="Merli">M. Merli</name></author><author><name sortKey="Prato, G P" sort="Prato, G P" uniqKey="Prato G" first="G P" last="Prato">G P Prato</name></author></analytic><series><title level="j">The International journal of periodontics & restorative dentistry</title><idno type="ISSN">0198-7569</idno><imprint><date when="1998" type="published">1998</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Alveolar Process (pathology)</term><term>Clinical Protocols</term><term>Dental Abutments</term><term>Dental Implants</term><term>Esthetics, Dental</term><term>Female</term><term>Follow-Up Studies</term><term>Gingiva (transplantation)</term><term>Gingivectomy</term><term>Humans</term><term>Jaw, Edentulous, Partially (rehabilitation)</term><term>Jaw, Edentulous, Partially (surgery)</term><term>Male</term><term>Mandible (surgery)</term><term>Middle Aged</term><term>Oral Hygiene</term><term>Periodontal Ligament (pathology)</term><term>Periodontal Ligament (surgery)</term><term>Periodontium (anatomy & histology)</term><term>Periodontium (surgery)</term><term>Prospective Studies</term><term>Surgical Flaps</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Dentisterie esthétique</term><term>Desmodonte ()</term><term>Desmodonte (anatomopathologie)</term><term>Femelle</term><term>Gencive (transplantation)</term><term>Gingivectomie</term><term>Humains</term><term>Hygiène buccodentaire</term><term>Implants dentaires</term><term>Lambeaux chirurgicaux</term><term>Mandibule ()</term><term>Mâchoire partiellement édentée ()</term><term>Mâchoire partiellement édentée (rééducation et réadaptation)</term><term>Mâle</term><term>Parodonte ()</term><term>Parodonte (anatomie et histologie)</term><term>Piliers dentaires</term><term>Processus alvéolaire (anatomopathologie)</term><term>Protocoles cliniques</term><term>Sujet âgé</term><term>Études de suivi</term><term>Études prospectives</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term></keywords><keywords scheme="MESH" qualifier="anatomie et histologie" xml:lang="fr"><term>Parodonte</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Desmodonte</term><term>Processus alvéolaire</term></keywords><keywords scheme="MESH" qualifier="anatomy & histology" xml:lang="en"><term>Periodontium</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Alveolar Process</term><term>Periodontal Ligament</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous, Partially</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire partiellement édentée</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous, Partially</term><term>Mandible</term><term>Periodontal Ligament</term><term>Periodontium</term></keywords><keywords scheme="MESH" qualifier="transplantation" xml:lang="en"><term>Gingiva</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Clinical Protocols</term><term>Dental Abutments</term><term>Esthetics, Dental</term><term>Female</term><term>Follow-Up Studies</term><term>Gingivectomy</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Oral Hygiene</term><term>Prospective Studies</term><term>Surgical Flaps</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Dentisterie esthétique</term><term>Desmodonte</term><term>Femelle</term><term>Gencive</term><term>Gingivectomie</term><term>Humains</term><term>Hygiène buccodentaire</term><term>Implants dentaires</term><term>Lambeaux chirurgicaux</term><term>Mandibule</term><term>Mâchoire partiellement édentée</term><term>Mâle</term><term>Parodonte</term><term>Piliers dentaires</term><term>Protocoles cliniques</term><term>Sujet âgé</term><term>Études de suivi</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Masticatory mucosa around implants may be useful to enhance esthetics and/or plaque control. This study proposes simplified guidelines for maintaining or obtaining a minimal amount of masticatory mucosa around submerged implants in cases of partial edentulism, and for keeping the need for additional surgery to a minimum. Free gingival grafts were used in the mandibular arch when the width of buccal masticatory mucosa was less than 2 mm. The width of masticatory mucosa expected to be available for attachment to the bone surface buccal to implants was estimated by measuring the distance between the emergence of the implant from bone and the mucogingival junction. When this distance was 3 mm or less, the use of an apically positioned flap for implant exposure was preferred over gingivectomy. The amount of masticatory mucosa buccal to implants was measured 2 weeks, 6 months, and 12 months after implant exposure. In no case was the width of masticatory mucosa less than 2 mm at 1 year. Therefore, this protocol is recommended for the treatment of cases where the presence of an adequate amount of masticatory mucosa is necessary to ensure a satisfying appearance or is useful for facilitating oral hygiene.</div></front></TEI><affiliations><list><country><li>Italie</li></country></list><tree><noCountry><name sortKey="Clauser, C" sort="Clauser, C" uniqKey="Clauser C" first="C" last="Clauser">C. Clauser</name><name sortKey="Grassi, R" sort="Grassi, R" uniqKey="Grassi R" first="R" last="Grassi">R. Grassi</name><name sortKey="Merli, M" sort="Merli, M" uniqKey="Merli M" first="M" last="Merli">M. Merli</name><name sortKey="Prato, G P" sort="Prato, G P" uniqKey="Prato G" first="G P" last="Prato">G P Prato</name></noCountry><country name="Italie"><noRegion><name sortKey="Barone, R" sort="Barone, R" uniqKey="Barone R" first="R" last="Barone">R. Barone</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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