Interventions for replacing missing teeth: management of soft tissues for dental implants.
Identifieur interne : 001273 ( PubMed/Curation ); précédent : 001272; suivant : 001274Interventions for replacing missing teeth: management of soft tissues for dental implants.
Auteurs : Marco Esposito [Royaume-Uni] ; Hassan Maghaireh ; Maria Gabriella Grusovin ; Ioannis Ziounas ; Helen V. WorthingtonSource :
- The Cochrane database of systematic reviews [ 1469-493X ] ; 2012.
Descripteurs français
- KwdFr :
- MESH :
- rééducation et réadaptation : Mâchoire partiellement édentée, Mâchoire édentée.
- Essais contrôlés randomisés comme sujet, Gencive, Humains, Implants dentaires, Lambeaux chirurgicaux, Mandibule, Maxillaire, Pose d'implant dentaire.
English descriptors
- KwdEn :
- MESH :
- chemical : Dental Implants.
- methods : Dental Implantation.
- rehabilitation : Jaw, Edentulous, Jaw, Edentulous, Partially.
- surgery : Gingiva.
- Humans, Mandible, Maxilla, Randomized Controlled Trials as Topic, Surgical Flaps.
Abstract
Dental implants are usually placed by elevating a soft tissue flap, but in some instances, they can also be placed flapless reducing patient discomfort. Several flap designs and suturing techniques have been proposed. Soft tissues are often manipulated and augmented for aesthetic reasons. It is often recommended that implants are surrounded by a sufficient width of attached/keratinised mucosa to improve their long-term prognosis.
DOI: 10.1002/14651858.CD006697.pub2
PubMed: 22336822
Links toward previous steps (curation, corpus...)
- to stream PubMed, to step Corpus: Pour aller vers cette notice dans l'étape Curation :001273
Links to Exploration step
pubmed:22336822Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Interventions for replacing missing teeth: management of soft tissues for dental implants.</title><author><name sortKey="Esposito, Marco" sort="Esposito, Marco" uniqKey="Esposito M" first="Marco" last="Esposito">Marco Esposito</name><affiliation wicri:level="1"><nlm:affiliation>Cochrane Oral Health Group, School of Dentistry, The University of Manchester, Manchester, UK. espositomarco@hotmail.com.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Cochrane Oral Health Group, School of Dentistry, The University of Manchester, Manchester</wicri:regionArea></affiliation></author><author><name sortKey="Maghaireh, Hassan" sort="Maghaireh, Hassan" uniqKey="Maghaireh H" first="Hassan" last="Maghaireh">Hassan Maghaireh</name></author><author><name sortKey="Grusovin, Maria Gabriella" sort="Grusovin, Maria Gabriella" uniqKey="Grusovin M" first="Maria Gabriella" last="Grusovin">Maria Gabriella Grusovin</name></author><author><name sortKey="Ziounas, Ioannis" sort="Ziounas, Ioannis" uniqKey="Ziounas I" first="Ioannis" last="Ziounas">Ioannis Ziounas</name></author><author><name sortKey="Worthington, Helen V" sort="Worthington, Helen V" uniqKey="Worthington H" first="Helen V" last="Worthington">Helen V. Worthington</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2012">2012</date><idno type="RBID">pubmed:22336822</idno><idno type="pmid">22336822</idno><idno type="doi">10.1002/14651858.CD006697.pub2</idno><idno type="wicri:Area/PubMed/Corpus">001273</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001273</idno><idno type="wicri:Area/PubMed/Curation">001273</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001273</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Interventions for replacing missing teeth: management of soft tissues for dental implants.</title><author><name sortKey="Esposito, Marco" sort="Esposito, Marco" uniqKey="Esposito M" first="Marco" last="Esposito">Marco Esposito</name><affiliation wicri:level="1"><nlm:affiliation>Cochrane Oral Health Group, School of Dentistry, The University of Manchester, Manchester, UK. espositomarco@hotmail.com.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Cochrane Oral Health Group, School of Dentistry, The University of Manchester, Manchester</wicri:regionArea></affiliation></author><author><name sortKey="Maghaireh, Hassan" sort="Maghaireh, Hassan" uniqKey="Maghaireh H" first="Hassan" last="Maghaireh">Hassan Maghaireh</name></author><author><name sortKey="Grusovin, Maria Gabriella" sort="Grusovin, Maria Gabriella" uniqKey="Grusovin M" first="Maria Gabriella" last="Grusovin">Maria Gabriella Grusovin</name></author><author><name sortKey="Ziounas, Ioannis" sort="Ziounas, Ioannis" uniqKey="Ziounas I" first="Ioannis" last="Ziounas">Ioannis Ziounas</name></author><author><name sortKey="Worthington, Helen V" sort="Worthington, Helen V" uniqKey="Worthington H" first="Helen V" last="Worthington">Helen V. Worthington</name></author></analytic><series><title level="j">The Cochrane database of systematic reviews</title><idno type="eISSN">1469-493X</idno><imprint><date when="2012" type="published">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Dental Implantation (methods)</term><term>Dental Implants</term><term>Gingiva (surgery)</term><term>Humans</term><term>Jaw, Edentulous (rehabilitation)</term><term>Jaw, Edentulous, Partially (rehabilitation)</term><term>Mandible</term><term>Maxilla</term><term>Randomized Controlled Trials as Topic</term><term>Surgical Flaps</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Essais contrôlés randomisés comme sujet</term><term>Gencive ()</term><term>Humains</term><term>Implants dentaires</term><term>Lambeaux chirurgicaux</term><term>Mandibule</term><term>Maxillaire</term><term>Mâchoire partiellement édentée (rééducation et réadaptation)</term><term>Mâchoire édentée (rééducation et réadaptation)</term><term>Pose d'implant dentaire ()</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Dental Implantation</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous</term><term>Jaw, Edentulous, Partially</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire partiellement édentée</term><term>Mâchoire édentée</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Gingiva</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term><term>Mandible</term><term>Maxilla</term><term>Randomized Controlled Trials as Topic</term><term>Surgical Flaps</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Essais contrôlés randomisés comme sujet</term><term>Gencive</term><term>Humains</term><term>Implants dentaires</term><term>Lambeaux chirurgicaux</term><term>Mandibule</term><term>Maxillaire</term><term>Pose d'implant dentaire</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Dental implants are usually placed by elevating a soft tissue flap, but in some instances, they can also be placed flapless reducing patient discomfort. Several flap designs and suturing techniques have been proposed. Soft tissues are often manipulated and augmented for aesthetic reasons. It is often recommended that implants are surrounded by a sufficient width of attached/keratinised mucosa to improve their long-term prognosis.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">22336822</PMID><DateCompleted><Year>2012</Year><Month>05</Month><Day>23</Day></DateCompleted><DateRevised><Year>2016</Year><Month>06</Month><Day>02</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1469-493X</ISSN><JournalIssue CitedMedium="Internet"><Issue>2</Issue><PubDate><Year>2012</Year><Month>Feb</Month><Day>15</Day></PubDate></JournalIssue><Title>The Cochrane database of systematic reviews</Title><ISOAbbreviation>Cochrane Database Syst Rev</ISOAbbreviation></Journal><ArticleTitle>Interventions for replacing missing teeth: management of soft tissues for dental implants.</ArticleTitle><Pagination><MedlinePgn>CD006697</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1002/14651858.CD006697.pub2</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Dental implants are usually placed by elevating a soft tissue flap, but in some instances, they can also be placed flapless reducing patient discomfort. Several flap designs and suturing techniques have been proposed. Soft tissues are often manipulated and augmented for aesthetic reasons. It is often recommended that implants are surrounded by a sufficient width of attached/keratinised mucosa to improve their long-term prognosis.</AbstractText><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">To evaluate whether (1a) flapless procedures are beneficial for patients, and (1b) which is the ideal flap design; whether (2a) soft tissue correction/augmentation techniques are beneficial for patients, and (2b) which are the best techniques; whether (3a) techniques to increase the peri-implant keratinised mucosa are beneficial for patients, and (3b) which are the best techniques; and (4) which are the best suturing techniques/materials.</AbstractText><AbstractText Label="SEARCH METHODS" NlmCategory="METHODS">The following electronic databases were searched: the Cochrane Oral Health Group Trials Register (to 9 June 2011), the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2011, Issue 2), MEDLINE via OVID (1950 to 9 June 2011), EMBASE via OVID (1980 to 9 June 2011). Several dental journals were handsearched. There were no language restrictions.</AbstractText><AbstractText Label="SELECTION CRITERIA" NlmCategory="METHODS">All randomised controlled trials (RCTs) of root-form osseointegrated dental implants, with a follow-up of at least 6 months after function, comparing various techniques to handle soft tissues in relation to dental implants. Outcome measures, according to the different hypotheses, were: prosthetic and implant failures, biological complications, aesthetics evaluated by patients and dentists, postoperative pain, marginal peri-implant bone level changes on periapical radiographs, patient preference, ease of maintenance by patient, soft tissue thickness changes and attached/keratinised mucosa height changes.</AbstractText><AbstractText Label="DATA COLLECTION AND ANALYSIS" NlmCategory="METHODS">Screening of eligible studies, assessment of the methodological quality of the trials and data extraction were conducted at least in duplicate and independently by two or more review authors. Trial authors were contacted for missing information. Results were expressed using risk ratios for dichotomous outcomes and mean differences for continuous outcomes with 95% confidence intervals.</AbstractText><AbstractText Label="MAIN RESULTS" NlmCategory="RESULTS">Seventeen potentially eligible RCTs were identified but only six trials with 138 patients in total could be included. One study was at low risk of bias, two studies were judged to be at unclear risk of bias and three at high risk of bias. Two trials (56 patients) compared flapless placement of dental implants with conventional flap elevation, one trial (10 patients) compared crestal versus vestibular incisions, one trial (20 patients) Erbium:YAG laser versus flap elevation at the second-stage surgery for implant exposure, one split-mouth trial (10 patients) evaluated whether connective tissue graft at implant placement could be effective in augmenting peri-implant tissues, and one trial (40 patients) compared autograft with an animal-derived collagen matrix to increase the height of the keratinised mucosa. On a patient, rather than per implant basis, implants placed with a flapless technique and implant exposures performed with laser induced statistically significantly less postoperative pain than flap elevation. Sites augmented with soft tissues connective grafts showed a better aesthetic and thicker tissues. Both palatal autografts or the use of a porcine-derived collagen matrix are effective in increasing the height of keratinised mucosa at the price of a 0.5 mm recession of peri-implant soft tissues. There were no other statistically significant differences for any of the remaining analyses.</AbstractText><AbstractText Label="AUTHORS' CONCLUSIONS" NlmCategory="CONCLUSIONS">There is limited weak evidence suggesting that flapless implant placement is feasible and has been shown to reduce patient postoperative discomfort in adequately selected patients, that augmentation at implant sites with soft tissue grafts is effective in increasing soft tissue thickness improving aesthetics and that one technique to increase the height of keratinised mucosa using autografts or an animal-derived collagen matrix was able to achieve its goal but at the price of a worsened aesthetic outcome (0.5 mm of recession). There is insufficient reliable evidence to provide recommendations on which is the ideal flap design, the best soft tissue augmentation technique, whether techniques to increase the width of keratinised/attached mucosa are beneficial to patients or not, and which are the best incision/suture techniques/materials. Properly designed and conducted RCTs, with at least 6 months of follow-up, are needed to provide reliable answers to these questions.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Esposito</LastName><ForeName>Marco</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Cochrane Oral Health Group, School of Dentistry, The University of Manchester, Manchester, UK. espositomarco@hotmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Maghaireh</LastName><ForeName>Hassan</ForeName><Initials>H</Initials></Author><Author ValidYN="Y"><LastName>Grusovin</LastName><ForeName>Maria Gabriella</ForeName><Initials>MG</Initials></Author><Author ValidYN="Y"><LastName>Ziounas</LastName><ForeName>Ioannis</ForeName><Initials>I</Initials></Author><Author ValidYN="Y"><LastName>Worthington</LastName><ForeName>Helen V</ForeName><Initials>HV</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D017418">Meta-Analysis</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2012</Year><Month>02</Month><Day>15</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Cochrane Database Syst Rev</MedlineTA><NlmUniqueID>100909747</NlmUniqueID><ISSNLinking>1361-6137</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D015921">Dental Implants</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="UpdateOf"><RefSource>Cochrane Database Syst Rev. 2007;(3):CD006697</RefSource><PMID Version="1">17636847</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D003757" MajorTopicYN="N">Dental Implantation</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015921" MajorTopicYN="Y">Dental Implants</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005881" MajorTopicYN="N">Gingiva</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007575" MajorTopicYN="N">Jaw, Edentulous</DescriptorName><QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007576" MajorTopicYN="N">Jaw, Edentulous, Partially</DescriptorName><QualifierName UI="Q000534" MajorTopicYN="N">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008334" MajorTopicYN="N">Mandible</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008437" MajorTopicYN="N">Maxilla</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016032" MajorTopicYN="N">Randomized Controlled Trials as Topic</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013524" MajorTopicYN="Y">Surgical Flaps</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2012</Year><Month>2</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2012</Year><Month>2</Month><Day>18</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2012</Year><Month>5</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">22336822</ArticleId><ArticleId IdType="doi">10.1002/14651858.CD006697.pub2</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Santé/explor/EdenteV2/Data/PubMed/Curation
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 001273 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/PubMed/Curation/biblio.hfd -nk 001273 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Santé
|area= EdenteV2
|flux= PubMed
|étape= Curation
|type= RBID
|clé= pubmed:22336822
|texte= Interventions for replacing missing teeth: management of soft tissues for dental implants.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/PubMed/Curation/RBID.i -Sk "pubmed:22336822" \
| HfdSelect -Kh $EXPLOR_AREA/Data/PubMed/Curation/biblio.hfd \
| NlmPubMed2Wicri -a EdenteV2
| This area was generated with Dilib version V0.6.32. |  |