Soft-tissue augmentation for increasing keratinized tissue around dental implants: A systematic review
Background: This systematic review aims to comprehensively assess the efficacy of soft-tissue augmentation procedures in enhancing the width of keratinized mucosa (KM) surrounding implants with compromised soft-tissue status. Materials and Methods: A thorough search was conducted on MEDLINE through...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-07-01
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| Series: | Journal of Indian Society of Periodontology |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/jisp.jisp_429_23 |
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| _version_ | 1832087087377022976 |
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| author | Farjad Zafar Maryam Riaz Rafay Ahmed Rahul Kumar |
| author_facet | Farjad Zafar Maryam Riaz Rafay Ahmed Rahul Kumar |
| author_sort | Farjad Zafar |
| collection | DOAJ |
| description | Background:
This systematic review aims to comprehensively assess the efficacy of soft-tissue augmentation procedures in enhancing the width of keratinized mucosa (KM) surrounding implants with compromised soft-tissue status.
Materials and Methods:
A thorough search was conducted on MEDLINE through PubMed and EMBASE via Ovid, supplemented by manual article searches. Inclusion criteria comprised human studies published in English within the past decade (up to July 2023), focusing on soft-tissue grafting techniques for augmenting keratinized mucosal width. The Joanna Briggs Institute critical appraisal tools were employed to evaluate the risk of bias in selected studies.
Results:
The review includes 27 studies, comprising nine prospective clinical studies, 13 randomized controlled trials (RCTs), and 5 case series. Notably, interventions demonstrated an augmented KM ranging from 0.89 mm to 7.7 mm. Optimal outcomes were observed with apically positioned partial-thickness flaps and vestibuloplasty (VP) utilizing xenogeneic collagen matrix (XCM) or free gingival graft (FGG). However, heterogeneity in study designs precluded meta-analysis.
Conclusion:
Despite the limitations, this study emphasizes the potential to augment KM width through apically positioned partial-thickness flaps and VP techniques employing XCM or FGG. Further RCTs with extended follow-up are needed to refine treatment approaches, improve outcomes, and address gaps in understanding graft integration mechanisms and strategies to minimize graft shrinkage. |
| format | Article |
| id | doaj-art-10d2844adad1482ebf3a07426f99961c |
| institution | Kabale University |
| issn | 0972-124X 0975-1580 |
| language | English |
| publishDate | 2024-07-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Indian Society of Periodontology |
| spelling | doaj-art-10d2844adad1482ebf3a07426f99961c2025-02-06T07:19:22ZengWolters Kluwer Medknow PublicationsJournal of Indian Society of Periodontology0972-124X0975-15802024-07-0128441742610.4103/jisp.jisp_429_23Soft-tissue augmentation for increasing keratinized tissue around dental implants: A systematic reviewFarjad ZafarMaryam RiazRafay AhmedRahul KumarBackground: This systematic review aims to comprehensively assess the efficacy of soft-tissue augmentation procedures in enhancing the width of keratinized mucosa (KM) surrounding implants with compromised soft-tissue status. Materials and Methods: A thorough search was conducted on MEDLINE through PubMed and EMBASE via Ovid, supplemented by manual article searches. Inclusion criteria comprised human studies published in English within the past decade (up to July 2023), focusing on soft-tissue grafting techniques for augmenting keratinized mucosal width. The Joanna Briggs Institute critical appraisal tools were employed to evaluate the risk of bias in selected studies. Results: The review includes 27 studies, comprising nine prospective clinical studies, 13 randomized controlled trials (RCTs), and 5 case series. Notably, interventions demonstrated an augmented KM ranging from 0.89 mm to 7.7 mm. Optimal outcomes were observed with apically positioned partial-thickness flaps and vestibuloplasty (VP) utilizing xenogeneic collagen matrix (XCM) or free gingival graft (FGG). However, heterogeneity in study designs precluded meta-analysis. Conclusion: Despite the limitations, this study emphasizes the potential to augment KM width through apically positioned partial-thickness flaps and VP techniques employing XCM or FGG. Further RCTs with extended follow-up are needed to refine treatment approaches, improve outcomes, and address gaps in understanding graft integration mechanisms and strategies to minimize graft shrinkage.https://journals.lww.com/10.4103/jisp.jisp_429_23dental implantfree gingival graftkeratinized tissue widthsoft-tissue graftxenogeneic collagen matrix |
| spellingShingle | Farjad Zafar Maryam Riaz Rafay Ahmed Rahul Kumar Soft-tissue augmentation for increasing keratinized tissue around dental implants: A systematic review Journal of Indian Society of Periodontology dental implant free gingival graft keratinized tissue width soft-tissue graft xenogeneic collagen matrix |
| title | Soft-tissue augmentation for increasing keratinized tissue around dental implants: A systematic review |
| title_full | Soft-tissue augmentation for increasing keratinized tissue around dental implants: A systematic review |
| title_fullStr | Soft-tissue augmentation for increasing keratinized tissue around dental implants: A systematic review |
| title_full_unstemmed | Soft-tissue augmentation for increasing keratinized tissue around dental implants: A systematic review |
| title_short | Soft-tissue augmentation for increasing keratinized tissue around dental implants: A systematic review |
| title_sort | soft tissue augmentation for increasing keratinized tissue around dental implants a systematic review |
| topic | dental implant free gingival graft keratinized tissue width soft-tissue graft xenogeneic collagen matrix |
| url | https://journals.lww.com/10.4103/jisp.jisp_429_23 |
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