Effect of connective tissue grafting on peri

TY - JOUR

T1 - Effect of connective tissue grafting on peri-implant tissue in single immediate implant sites

T2 - A RCT

AU - Zuiderveld, Elise G

AU - Meijer, Henny J A

AU - den Hartog, Laurens

AU - Vissink, Arjan

AU - Raghoebar, Gerry M

N1 - This article is protected by copyright. All rights reserved.

PY - 2018/2

Y1 - 2018/2

N2 - AimTo assess the effect of connective tissue grafting on the mid-buccal mucosal level (MBML) of immediately placed and provisionalized single implants in the maxillofacial aesthetic zone.Materials and methodsSixty patients with a failing tooth were provided with an immediately placed and provisionalized implant. During implant placement, patients randomly received either a connective tissue graft from the maxillary tuberosity (n=30, test group) or no graft (n=30, control group). Follow-up visits were at one (T-1) and twelve months (T-12) after final crown placement. The primary outcome measure was any change in MBML compared to the pre-operative situation. In addition, gingival biotype, aesthetics (using the Pink Esthetic Score-White Esthetic Score), marginal bone level, soft tissue peri-implant parameters and patient satisfaction were assessed.ResultsThe mean MBML change at T-12 was -0.51.1mm in the control group and 0.1 +/- 0.8mm in the test group (p=.03). No significant differences regarding other outcome variables were observed, neither was gingival biotype associated with a gain or loss in MBML.ConclusionsThis one-year study shows that connective tissue grafting in single, immediately placed and provisionalized implants leads to less recession of the peri-implant soft tissue at the mid-buccal aspect, irrespective of the gingival biotype (: TC3815).

AB - AimTo assess the effect of connective tissue grafting on the mid-buccal mucosal level (MBML) of immediately placed and provisionalized single implants in the maxillofacial aesthetic zone.Materials and methodsSixty patients with a failing tooth were provided with an immediately placed and provisionalized implant. During implant placement, patients randomly received either a connective tissue graft from the maxillary tuberosity (n=30, test group) or no graft (n=30, control group). Follow-up visits were at one (T-1) and twelve months (T-12) after final crown placement. The primary outcome measure was any change in MBML compared to the pre-operative situation. In addition, gingival biotype, aesthetics (using the Pink Esthetic Score-White Esthetic Score), marginal bone level, soft tissue peri-implant parameters and patient satisfaction were assessed.ResultsThe mean MBML change at T-12 was -0.51.1mm in the control group and 0.1 +/- 0.8mm in the test group (p=.03). No significant differences regarding other outcome variables were observed, neither was gingival biotype associated with a gain or loss in MBML.ConclusionsThis one-year study shows that connective tissue grafting in single, immediately placed and provisionalized implants leads to less recession of the peri-implant soft tissue at the mid-buccal aspect, irrespective of the gingival biotype (: TC3815).

KW - connective tissue grafting

KW - immediate implant treatment

KW - implant aesthetics

KW - single implant

KW - soft tissue recession

KW - FRESH EXTRACTION SOCKETS

KW - AESTHETIC ZONE

KW - TOOTH IMPLANTS

KW - CLINICAL-TRIAL

KW - BUCCAL BONE

KW - PLACEMENT

KW - SOFT

KW - OUTCOMES

KW - BIOTYPE

KW - AUGMENTATION

U2 - 10.1111/jcpe.12820

DO - 10.1111/jcpe.12820

M3 - Article

C2 - 28941303

SN - 0303-6979

VL - 45

SP - 253

EP - 264

JO - Journal of Clinical Periodontology

JF - Journal of Clinical Periodontology

IS - 2

ER -