The authors thank all the authors who responded to their requests and provided useful information that made it possible to complete this systematic review and meta-analysis.
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://hdl.handle.net/11449/234348 |
Resumo: | Purpose: To evaluate the influence of connective tissue graft on the soft tissue thickness and aesthetics around single implants placed in the aesthetic zone of the maxilla. Materials and methods: Forty-two patients with indications for single implant placement in the aesthetic zone were randomly allocated into two groups: the implant group (implant insertion) and the implant + connective tissue graft group (implant insertion and placement of a 1.50-mm-thick connective tissue graft). Clinical evaluations were performed at baseline, 4 months after surgery (prior to prosthetic reconstruction) and 1 year after crown placement to assess tissue thickness at the crestal aspect and the buccal aspect, buccal defects, keratinised tissue width and proximal bone resorption. Aesthetics were assessed using the pink aesthetic score index, and postoperative discomfort and pain tests were also performed. Results: Only the implant + connective tissue graft group presented a significant increase in tissue thickness at the buccal aspect, with 2.36 ± 0.94 mm at baseline, 3.35 ± 1.00 mm after 4 months and 3.23 ± 0.77 mm after 1 year (P < 0.05), whereas no change was observed in the implant group. The difference between the two groups was significant after 4 months and 1 year (P < 0.05). The implant + connective tissue graft group also showed a greater reduction in buccal defects after 1 year compared to the implant group (Δ −0.50 ± 0.70 mm and Δ −1.80 ± 1.30 mm, respectively; P < 0.05). After 1 year, a significant intergroup difference in proximal bone resorption was observed, with the implant + connective tissue graft group showing less bone resorption compared to the implant group (0.75 ± 0.20 mm and 0.92 ± 0.30 mm, respectively; P < 0.05). Conclusions: Placement of a connective tissue graft simultaneous to single implant insertion in the anterior maxillary region can increase the thickness of the peri-implant mucosa and reduce proximal bone resorption. |
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The authors thank all the authors who responded to their requests and provided useful information that made it possible to complete this systematic review and meta-analysis.Connective tissueDental aestheticsDental implantsGingival recessionSoft tissue graftingPurpose: To evaluate the influence of connective tissue graft on the soft tissue thickness and aesthetics around single implants placed in the aesthetic zone of the maxilla. Materials and methods: Forty-two patients with indications for single implant placement in the aesthetic zone were randomly allocated into two groups: the implant group (implant insertion) and the implant + connective tissue graft group (implant insertion and placement of a 1.50-mm-thick connective tissue graft). Clinical evaluations were performed at baseline, 4 months after surgery (prior to prosthetic reconstruction) and 1 year after crown placement to assess tissue thickness at the crestal aspect and the buccal aspect, buccal defects, keratinised tissue width and proximal bone resorption. Aesthetics were assessed using the pink aesthetic score index, and postoperative discomfort and pain tests were also performed. Results: Only the implant + connective tissue graft group presented a significant increase in tissue thickness at the buccal aspect, with 2.36 ± 0.94 mm at baseline, 3.35 ± 1.00 mm after 4 months and 3.23 ± 0.77 mm after 1 year (P < 0.05), whereas no change was observed in the implant group. The difference between the two groups was significant after 4 months and 1 year (P < 0.05). The implant + connective tissue graft group also showed a greater reduction in buccal defects after 1 year compared to the implant group (Δ −0.50 ± 0.70 mm and Δ −1.80 ± 1.30 mm, respectively; P < 0.05). After 1 year, a significant intergroup difference in proximal bone resorption was observed, with the implant + connective tissue graft group showing less bone resorption compared to the implant group (0.75 ± 0.20 mm and 0.92 ± 0.30 mm, respectively; P < 0.05). Conclusions: Placement of a connective tissue graft simultaneous to single implant insertion in the anterior maxillary region can increase the thickness of the peri-implant mucosa and reduce proximal bone resorption.Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)São Paulo State University (UNESP) Division of Periodontology, São PauloGuarulhos University Dental Research Division, São PauloSão Paulo State University (UNESP) Division of Integrated Clinic, São PauloSão Paulo State University (UNESP) Division of Periodontology, São PauloSão Paulo State University (UNESP) Division of Integrated Clinic, São PauloUniversidade Estadual Paulista (UNESP)Dental Research DivisionLazzari, Thiago Rodrigues [UNESP]Jardini, Maria Aparecida Neves [UNESP]dos Santos, Nidia Castroda Silva Neves, Felipe Lucas [UNESP]da Silva Lima, Victória Clara [UNESP]de Melo Filho, Antonio Braulino [UNESP]Santamaria, Mauro Pedrine [UNESP]2022-05-01T16:02:27Z2022-05-01T16:02:27Z2022-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article57-68International Journal of Oral Implantology, v. 15, n. 1, p. 57-68, 2022.2631-64392631-6420http://hdl.handle.net/11449/2343482-s2.0-85127518618Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengInternational Journal of Oral Implantologyinfo:eu-repo/semantics/openAccess2022-05-01T16:02:27Zoai:repositorio.unesp.br:11449/234348Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-05T23:40:51.222133Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
The authors thank all the authors who responded to their requests and provided useful information that made it possible to complete this systematic review and meta-analysis. |
title |
The authors thank all the authors who responded to their requests and provided useful information that made it possible to complete this systematic review and meta-analysis. |
spellingShingle |
The authors thank all the authors who responded to their requests and provided useful information that made it possible to complete this systematic review and meta-analysis. Lazzari, Thiago Rodrigues [UNESP] Connective tissue Dental aesthetics Dental implants Gingival recession Soft tissue grafting |
title_short |
The authors thank all the authors who responded to their requests and provided useful information that made it possible to complete this systematic review and meta-analysis. |
title_full |
The authors thank all the authors who responded to their requests and provided useful information that made it possible to complete this systematic review and meta-analysis. |
title_fullStr |
The authors thank all the authors who responded to their requests and provided useful information that made it possible to complete this systematic review and meta-analysis. |
title_full_unstemmed |
The authors thank all the authors who responded to their requests and provided useful information that made it possible to complete this systematic review and meta-analysis. |
title_sort |
The authors thank all the authors who responded to their requests and provided useful information that made it possible to complete this systematic review and meta-analysis. |
author |
Lazzari, Thiago Rodrigues [UNESP] |
author_facet |
Lazzari, Thiago Rodrigues [UNESP] Jardini, Maria Aparecida Neves [UNESP] dos Santos, Nidia Castro da Silva Neves, Felipe Lucas [UNESP] da Silva Lima, Victória Clara [UNESP] de Melo Filho, Antonio Braulino [UNESP] Santamaria, Mauro Pedrine [UNESP] |
author_role |
author |
author2 |
Jardini, Maria Aparecida Neves [UNESP] dos Santos, Nidia Castro da Silva Neves, Felipe Lucas [UNESP] da Silva Lima, Victória Clara [UNESP] de Melo Filho, Antonio Braulino [UNESP] Santamaria, Mauro Pedrine [UNESP] |
author2_role |
author author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (UNESP) Dental Research Division |
dc.contributor.author.fl_str_mv |
Lazzari, Thiago Rodrigues [UNESP] Jardini, Maria Aparecida Neves [UNESP] dos Santos, Nidia Castro da Silva Neves, Felipe Lucas [UNESP] da Silva Lima, Victória Clara [UNESP] de Melo Filho, Antonio Braulino [UNESP] Santamaria, Mauro Pedrine [UNESP] |
dc.subject.por.fl_str_mv |
Connective tissue Dental aesthetics Dental implants Gingival recession Soft tissue grafting |
topic |
Connective tissue Dental aesthetics Dental implants Gingival recession Soft tissue grafting |
description |
Purpose: To evaluate the influence of connective tissue graft on the soft tissue thickness and aesthetics around single implants placed in the aesthetic zone of the maxilla. Materials and methods: Forty-two patients with indications for single implant placement in the aesthetic zone were randomly allocated into two groups: the implant group (implant insertion) and the implant + connective tissue graft group (implant insertion and placement of a 1.50-mm-thick connective tissue graft). Clinical evaluations were performed at baseline, 4 months after surgery (prior to prosthetic reconstruction) and 1 year after crown placement to assess tissue thickness at the crestal aspect and the buccal aspect, buccal defects, keratinised tissue width and proximal bone resorption. Aesthetics were assessed using the pink aesthetic score index, and postoperative discomfort and pain tests were also performed. Results: Only the implant + connective tissue graft group presented a significant increase in tissue thickness at the buccal aspect, with 2.36 ± 0.94 mm at baseline, 3.35 ± 1.00 mm after 4 months and 3.23 ± 0.77 mm after 1 year (P < 0.05), whereas no change was observed in the implant group. The difference between the two groups was significant after 4 months and 1 year (P < 0.05). The implant + connective tissue graft group also showed a greater reduction in buccal defects after 1 year compared to the implant group (Δ −0.50 ± 0.70 mm and Δ −1.80 ± 1.30 mm, respectively; P < 0.05). After 1 year, a significant intergroup difference in proximal bone resorption was observed, with the implant + connective tissue graft group showing less bone resorption compared to the implant group (0.75 ± 0.20 mm and 0.92 ± 0.30 mm, respectively; P < 0.05). Conclusions: Placement of a connective tissue graft simultaneous to single implant insertion in the anterior maxillary region can increase the thickness of the peri-implant mucosa and reduce proximal bone resorption. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-05-01T16:02:27Z 2022-05-01T16:02:27Z 2022-01-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
International Journal of Oral Implantology, v. 15, n. 1, p. 57-68, 2022. 2631-6439 2631-6420 http://hdl.handle.net/11449/234348 2-s2.0-85127518618 |
identifier_str_mv |
International Journal of Oral Implantology, v. 15, n. 1, p. 57-68, 2022. 2631-6439 2631-6420 2-s2.0-85127518618 |
url |
http://hdl.handle.net/11449/234348 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
International Journal of Oral Implantology |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
57-68 |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
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1808129542965952512 |