Coverage of mucosal recessions at dental implants.

Sculean, Anton; Chappuis, Vivianne; Cosgarea, Raluca (2017). Coverage of mucosal recessions at dental implants. Periodontology 2000, 73(1), pp. 134-140. Wiley 10.1111/prd.12178

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Facial peri-implant mucosal recessions represent an increasing complication in implant dentistry and may negatively affect the esthetic outcome and patient satisfaction. The aim of the present paper is to provide a review on the potential causes of facial peri-implant mucosal recessions and to provide a rationale for treatment along with possible treatment options. The available data indicate that soft tissue augmentation around dental implants is possible, but at present there is no evidence demonstrating that the augmented soft tissues are able to influence the peri-implant bone levels (e.g. to limit peri-implant bone loss). Therefore, the rationale to cover or correct peri-implant mucosal recessions are (i) to optimize the possibility for performing an adequate level of oral hygiene, and (ii) to improve esthetics. At present, there is very limited evidence supporting any specific treatment modality for covering peri-implant soft tissue recessions. The limited available data indicate that only shallow peri-implant mucosal recessions (e.g. up to 2 mm) may be treated successfully by means of a coronally advanced flap and subepithelial connective tissue graft or with guided bone regeneration, while no data are available supporting the possibility of covering deep and large peri-implant mucosal recessions.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > School of Dental Medicine > Department of Oral Surgery and Stomatology
04 Faculty of Medicine > School of Dental Medicine > Department of Periodontology

UniBE Contributor:

Sculean, Anton and Chappuis, Vivianne

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0906-6713

Publisher:

Wiley

Language:

English

Submitter:

Sarah Last

Date Deposited:

20 Jun 2017 15:39

Last Modified:

20 Jun 2017 15:39

Publisher DOI:

10.1111/prd.12178

PubMed ID:

28000282

BORIS DOI:

10.7892/boris.98587

URI:

https://boris.unibe.ch/id/eprint/98587

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