Surgical alternatives for increasing gingival thickness in anterior implants
ABSTRACT Oral rehabilitation with dental implants is a well-established practice that combines aesthetics and functionality. The success of implants is not limited to osseointegration but also involves the health of the surrounding soft tissues, particularly in areas of high aesthetic demand. Gingiv...
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| Format: | Article |
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Faculdade São Leopoldo Mandic
2025-08-01
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| Series: | RGO: Revista Gaúcha de Odontologia |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1981-86372025000100505&tlng=en |
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| author | Natália Gonçalves Marcel Paes Vanessa Cordeiro Silva Borges Jimmy de Oliveira Araújo Lorenzo Benetti Maia Bruno Machado de Carvalho |
| author_facet | Natália Gonçalves Marcel Paes Vanessa Cordeiro Silva Borges Jimmy de Oliveira Araújo Lorenzo Benetti Maia Bruno Machado de Carvalho |
| author_sort | Natália Gonçalves |
| collection | DOAJ |
| description | ABSTRACT Oral rehabilitation with dental implants is a well-established practice that combines aesthetics and functionality. The success of implants is not limited to osseointegration but also involves the health of the surrounding soft tissues, particularly in areas of high aesthetic demand. Gingival tissue quality is crucial for peri-implant stability, and periodontal biotypes – categorized as “thin,” “intermediate,” and “thick” – play a significant role in case planning and management to achieve an aesthetic and functional outcome. Current approaches to increasing tissue thickness involve connective tissue graft surgical techniques, which are widely used to enhance thickness and keratinized mucosa and are considered the gold standard due to their predictability and durability. Alternatives, such as xenogenic collagen matrices, offer reduced morbidity and greater patient comfort but still show inferior results in terms of long-term tissue stability. Although promising, collagen matrices require further studies to determine whether they can effectively replace autogenous grafts with comparable outcomes. Therefore, the choice of technique should consider gingival biotype, implant location, donor site assessment, operator technique, and patient preferences. Further research is needed to evaluate the benefits of alternative materials in the context of long-term treatments. |
| format | Article |
| id | doaj-art-2da20dcd49b84e608ffc35d37aedd725 |
| institution | Kabale University |
| issn | 1981-8637 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Faculdade São Leopoldo Mandic |
| record_format | Article |
| series | RGO: Revista Gaúcha de Odontologia |
| spelling | doaj-art-2da20dcd49b84e608ffc35d37aedd7252025-08-20T03:47:13ZengFaculdade São Leopoldo MandicRGO: Revista Gaúcha de Odontologia1981-86372025-08-017310.1590/1981-86372025001420240079Surgical alternatives for increasing gingival thickness in anterior implantsNatália Gonçalveshttps://orcid.org/0000-0002-1180-5387Marcel Paeshttps://orcid.org/0000-0002-3177-1591Vanessa Cordeiro Silva Borgeshttps://orcid.org/0000-0001-5945-4400Jimmy de Oliveira Araújohttps://orcid.org/0000-0003-2619-8628Lorenzo Benetti Maiahttps://orcid.org/0009-0005-9629-4895Bruno Machado de Carvalhohttps://orcid.org/0000-0002-6403-0204ABSTRACT Oral rehabilitation with dental implants is a well-established practice that combines aesthetics and functionality. The success of implants is not limited to osseointegration but also involves the health of the surrounding soft tissues, particularly in areas of high aesthetic demand. Gingival tissue quality is crucial for peri-implant stability, and periodontal biotypes – categorized as “thin,” “intermediate,” and “thick” – play a significant role in case planning and management to achieve an aesthetic and functional outcome. Current approaches to increasing tissue thickness involve connective tissue graft surgical techniques, which are widely used to enhance thickness and keratinized mucosa and are considered the gold standard due to their predictability and durability. Alternatives, such as xenogenic collagen matrices, offer reduced morbidity and greater patient comfort but still show inferior results in terms of long-term tissue stability. Although promising, collagen matrices require further studies to determine whether they can effectively replace autogenous grafts with comparable outcomes. Therefore, the choice of technique should consider gingival biotype, implant location, donor site assessment, operator technique, and patient preferences. Further research is needed to evaluate the benefits of alternative materials in the context of long-term treatments.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1981-86372025000100505&tlng=enDental ImplantsEsthetics, dentalOsseointegration |
| spellingShingle | Natália Gonçalves Marcel Paes Vanessa Cordeiro Silva Borges Jimmy de Oliveira Araújo Lorenzo Benetti Maia Bruno Machado de Carvalho Surgical alternatives for increasing gingival thickness in anterior implants RGO: Revista Gaúcha de Odontologia Dental Implants Esthetics, dental Osseointegration |
| title | Surgical alternatives for increasing gingival thickness in anterior implants |
| title_full | Surgical alternatives for increasing gingival thickness in anterior implants |
| title_fullStr | Surgical alternatives for increasing gingival thickness in anterior implants |
| title_full_unstemmed | Surgical alternatives for increasing gingival thickness in anterior implants |
| title_short | Surgical alternatives for increasing gingival thickness in anterior implants |
| title_sort | surgical alternatives for increasing gingival thickness in anterior implants |
| topic | Dental Implants Esthetics, dental Osseointegration |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1981-86372025000100505&tlng=en |
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