Abstract
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).
Original language | English |
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Pages (from-to) | 253-264 |
Number of pages | 12 |
Journal | Journal of Clinical Periodontology |
Volume | 45 |
Issue number | 2 |
Early online date | 5-Dec-2017 |
DOIs | |
Publication status | Published - Feb-2018 |
Keywords
- connective tissue grafting
- immediate implant treatment
- implant aesthetics
- single implant
- soft tissue recession
- FRESH EXTRACTION SOCKETS
- AESTHETIC ZONE
- TOOTH IMPLANTS
- CLINICAL-TRIAL
- BUCCAL BONE
- PLACEMENT
- SOFT
- OUTCOMES
- BIOTYPE
- AUGMENTATION