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Soft tissue augmentation procedures at second-stage surgery: a systematic review.

Identifieur interne : 000058 ( PubMed/Checkpoint ); précédent : 000057; suivant : 000059

Soft tissue augmentation procedures at second-stage surgery: a systematic review.

Auteurs : Renzo G. Bassetti [Suisse] ; Alexandra St Hli [Suisse] ; Mario A. Bassetti [Suisse] ; Anton Sculean [Suisse]

Source :

RBID : pubmed:27041111

Descripteurs français

English descriptors

Abstract

The aim of this systematic review was to evaluate the efficacy of different soft tissue augmentation/correction methods in terms of increasing the peri-implant width of keratinized mucosa (KM) and/or gain of soft tissue volume during second-stage surgery.

DOI: 10.1007/s00784-016-1815-2
PubMed: 27041111


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pubmed:27041111

Le document en format XML

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<term>Gingivoplasty (methods)</term>
<term>Humans</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Surgical Flaps</term>
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<term>Lambeaux chirurgicaux</term>
<term>Mâchoire partiellement édentée ()</term>
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<term>Vestibuloplastie ()</term>
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<front>
<div type="abstract" xml:lang="en">The aim of this systematic review was to evaluate the efficacy of different soft tissue augmentation/correction methods in terms of increasing the peri-implant width of keratinized mucosa (KM) and/or gain of soft tissue volume during second-stage surgery.</div>
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<DateCompleted>
<Year>2017</Year>
<Month>10</Month>
<Day>17</Day>
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<Year>2017</Year>
<Month>10</Month>
<Day>17</Day>
</DateRevised>
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<ISSN IssnType="Electronic">1436-3771</ISSN>
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<Volume>20</Volume>
<Issue>7</Issue>
<PubDate>
<Year>2016</Year>
<Month>Sep</Month>
</PubDate>
</JournalIssue>
<Title>Clinical oral investigations</Title>
<ISOAbbreviation>Clin Oral Investig</ISOAbbreviation>
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<ArticleTitle>Soft tissue augmentation procedures at second-stage surgery: a systematic review.</ArticleTitle>
<Pagination>
<MedlinePgn>1369-87</MedlinePgn>
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<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">The aim of this systematic review was to evaluate the efficacy of different soft tissue augmentation/correction methods in terms of increasing the peri-implant width of keratinized mucosa (KM) and/or gain of soft tissue volume during second-stage surgery.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Screening of two databases, MEDLINE (PubMed) and EMBASE (OVID), and hand search of related articles, were performed. Human studies reporting on soft tissue augmentation/correction methods around submucosally osseointegrated implants during second-stage surgery up to July 31, 2015 were considered. Quality assessment of the selected full-text articles was performed according to the Cochrane collaboration's tool to assess the risk of bias.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Overall, eight prospective studies (risk of bias: high) and two case series (risk of bias: high) were included. Depending on the surgical technique and graft material used, the enlargement of keratinized tissue (KT) ranged between -0.20 and 9.35 mm. An apically positioned partial-thickness flap/vestibuloplasty (APPTF/VP) in combination with a free gingival graft (FGG) or a xenogeneic graft material (XCM) was most effective. Applying a roll envelope flap (REF) or an APPTF in combination with a subepithelial connective tissue graft (SCTG), mean increases in soft tissue volumes of 2.41 and 3.10 mm, respectively, were achieved. Due to the heterogeneity of study designs, no meta-analysis could be performed.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Within the limitations of this review, regarding the enlargement of peri-implant KT, the APPTF in the maxilla and the APPTF/VP in combination with FGG or XCM in the lower and upper jaw seem to provide acceptable outcomes. To augment peri-implant soft tissue volume REF in the maxilla or APPTF + SCTG in the lower and upper jaw appear to be reliable treatment options.</AbstractText>
<AbstractText Label="CLINICAL RELEVANCE" NlmCategory="CONCLUSIONS">The localization in the jaw and the clinical situation are crucial for the decision which second-stage procedure should be applied.</AbstractText>
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<Keyword MajorTopicYN="N">Peri-implant soft tissue volume</Keyword>
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