Periodontology 2000,
Год журнала:
2022,
Номер
90(1), С. 125 - 137
Опубликована: Авг. 1, 2022
Abstract
Periodontitis
is
a
disease
characterized
by
tooth‐associated
microbial
biofilms
that
drive
chronic
inflammation
and
destruction
of
periodontal‐supporting
tissues.
In
some
individuals,
progression
can
lead
to
tooth
loss.
A
similar
condition
occur
around
dental
implants
in
the
form
peri‐implantitis.
The
immune
response
bacterial
challenges
not
only
influenced
genetic
factors,
but
also
environmental
factors.
Epigenetics
involves
study
gene
function
independent
changes
DNA
sequence
its
associated
proteins,
represents
critical
link
between
Epigenetic
modifications
have
been
shown
contribute
several
diseases,
including
inflammatory
diseases
like
periodontitis
This
review
aims
present
latest
findings
on
epigenetic
influences
discuss
potential
mechanisms
may
influence
peri‐implantitis,
given
paucity
information
currently
available.
Periodontology 2000,
Год журнала:
2016,
Номер
73(1), С. 22 - 40
Опубликована: Дек. 21, 2016
Abstract
Bone
healing
around
dental
implants
follows
the
pattern
and
sequence
of
intramembraneous
osteogenesis
with
formation
woven
bone
first
all
followed
later
by
parallel‐fibered
lamellar
bone.
apposition
onto
implant
surface
starts
earlier
in
trabecular
than
compact
While
new
may
be
found
on
1
week
after
installation,
remodeling
at
between
6
12
weeks
continues
throughout
life.
also
involves
bone–implant
interface,
thus
transiently
exposing
portions
surface.
Surface
modifications
creating
micro‐rough
surfaces
accelerate
osseointegration
process
titanium
implants,
as
demonstrated
numerous
animal
experiments.
Sandblasting
acid‐etching
currently
regarded
gold
standard
technique
to
create
surfaces.
Chemical
modifications,
resulting
higher
hydrophilicity,
further
increase
speed
titanium‐zirconium
both
animals
humans.
zirconia
alumina‐toughened
have
an
influence
osseointegration,
some
types
reach
high
bone‐to‐implant
contact
values
animals.
Although
often
discussed
independently
each
other,
characteristics,
such
topography
chemistry,
are
virtually
inseparable.
Contemporary,
well‐documented
systems
surfaces,
placed
properly
trained
experienced
clinicians,
demonstrate
long‐term
survival
rates.
Nevertheless,
failures
do
occur.
A
low
percentage
diagnosed
peri‐implantitis
10
years
function.
In
addition,
a
number
seem
lost
for
primarily
reasons
other
biofilm‐induced
infection.
Patient
factors,
medications
interfering
immune
system
cells,
element
contributing
continuous
loss
should
therefore
monitored
studied
greater
detail.
Periodontology 2000,
Год журнала:
2016,
Номер
73(1), С. 73 - 83
Опубликована: Дек. 21, 2016
Abstract
The
key
to
achieving
pleasing
esthetics
in
implant
dentistry
is
a
thorough
understanding
of
the
biological
processes
driving
dimensional
bone
and
soft
tissue
alterations
post‐extraction.
aim
present
report
first
characterize
extent
changes
post‐extraction
second
identify
potential
factors
influencing
preservation
order
facilitate
successful
treatment
outcomes.
facial
wall
thickness
has
been
identified
as
most
critical
factor
resorption
can
be
used
prognostic
tool
sites
at
risk
for
future
loss
subsequent
tooth
extraction.
Clinical
studies
indicated
that
thin
phenotypes
exhibiting
1
mm
or
less
revealed
progressive
with
vertical
7.5
mm,
whereas
thick
showed
only
minor
1.1
mm.
This
contrast
alterations.
Thin
spontaneous
thickening
after
flapless
extraction
by
seven,
no
significant
dimensions
8
weeks
healing.
In
limited
rate,
immediate
placement
may
considered.
If
such
ideal
conditions
are
not
present,
other
timing
protocols
recommended
achieve
predictable
esthetics.
Socket
techniques
ridge
utilizing
different
biomaterials
and/or
barrier
membranes
often
result
better
maintenance
volumes,
although
inevitable
process
modeling
cannot
arrested.
summary,
knowledge
events
should
integrated
into
comprehensive
plan
limit
maximize
esthetic
Journal of Periodontology,
Год журнала:
2019,
Номер
91(1), С. 9 - 16
Опубликована: Авг. 28, 2019
Abstract
This
state‐of‐the‐art
review
presents
the
latest
evidence
and
current
status
of
autogenous
soft
tissue
grafting
for
augmentation
recession
coverage
at
teeth
dental
implant
sites.
The
indications
predictability
free
gingival
graft
connective
(CTG)
techniques
are
highlighted,
together
with
their
expected
clinical
esthetic
outcomes.
CTGs
can
be
harvested
from
maxillary
tuberosity
or
palate
different
approaches
that
have
an
impact
on
quality
patient
morbidity.
influence
thickness
keratinized
width
also
discussed.
Journal of Periodontology,
Год журнала:
2020,
Номер
92(1), С. 21 - 44
Опубликована: Июль 25, 2020
Abstract
Background
The
peri‐implant
soft
tissue
phenotype
(PSP)
encompasses
the
keratinized
mucosa
width
(KMW),
mucosal
thickness
(MT),
and
supracrestal
height
(STH).
Numerous
approaches
to
augment
volume
around
endosseous
dental
implants
have
been
investigated.
To
what
extent
PSP
modification
is
beneficial
for
health
has
subject
of
debate
in
field
implant
dentistry.
aim
this
systematic
review
was
analyze
evidence
regarding
efficacy
augmentation
procedures
aimed
at
modifying
their
impact
on
health.
Methods
A
comprehensive
search
performed
identify
clinical
studies
that
involved
reported
findings
KMW,
MT,
and/or
STH
changes.
effect
intervention
also
assessed.
Selected
articles
were
classified
based
general
type
surgical
approach
increase
PSP,
either
bilaminar
or
an
apically
positioned
flap
(APF)
technique.
network
meta‐analysis
including
only
randomized‐controlled
trials
(RCTs)
reporting
outcomes
conducted
assess
compare
different
techniques.
Results
total
52
included
qualitative
analysis,
23
RCTs
as
part
meta‐analysis.
Sixteen
therapy
with
techniques,
whereas
7
use
APF.
analysis
showed
techniques
combination
grafts
(connective
graft
[CTG],
collagen
matrix
[CM],
acellular
dermal
[ADM])
resulted
a
significant
MT
compared
non‐augmented
sites.
In
particular,
CTG
ADM
associated
higher
gain
CM
However,
no
differences
KMW
observed
across
via
utilizing
effects
marginal
bone
level
stability.
APF‐based
free
gingival
(FGG),
CTG,
CM,
APF
alone,
FGG
exhibited
significantly
gain.
any
evaluated
reduction
probing
depth,
dehiscence
plaque
index
sites
loss
preservation
inconclusive.
Conclusions
Bilaminar
involving
obtained
highest
amount
gain,
most
effective
technique
increasing
KMW.
index,
regardless
grafting
material
employed,
Journal of Dental Research,
Год журнала:
2015,
Номер
94(9_suppl), С. 187S - 193S
Опубликована: Июнь 30, 2015
Dimensional
alterations
of
the
facial
soft
and
bone
tissues
following
tooth
extraction
in
esthetic
zone
play
an
essential
role
to
achieve
successful
outcomes
implant
therapy.
This
prospective
study
is
first
investigate
interplay
between
tissue
dimensions
underlying
anatomy
during
8-wk
healing
period.
The
analysis
based
on
sequential
3-dimensional
digital
surface
model
superimpositions
using
impressions
cone
beam
computed
tomography
Soft
thickness
thin
thick
phenotypes
at
was
similar,
averaging
0.7
mm
0.8
mm,
respectively.
Interestingly,
revealed
a
7-fold
increase
after
period,
whereas
phenotypes,
remained
unchanged.
observed
spontaneous
thickening
resulted
vertical
loss
only
1.6
which
concealed
resorption
7.5
mm.
Because
thickening,
no
significant
differences
were
detected
total
2,
4,
6,
8
wk.
More
than
51%
these
dimensional
occurred
within
2
wk
healing.
Even
though
conceals
pronounced
pattern
by
masking
true
deficiency,
offers
advantages
for
subsequent
regeneration
therapies
sites
with
high
demand
(Clinicaltrials.gov
NCT02403700).
Clinical Implant Dentistry and Related Research,
Год журнала:
2015,
Номер
18(3), С. 618 - 634
Опубликована: Апрель 15, 2015
Abstract
Background
The
health
of
peri‐implant
soft
tissues
is
one
the
most
important
aspects
osseointegration
necessary
for
long‐term
survival
dental
implants.
Purpose
To
review
process
tissue
healing
around
osseointegrated
implants
and
discuss
maintenance
requirements
as
well
possible
short‐comings
integration.
Materials
Methods
Literature
search
on
involved
in
osseointegration,
currently
available
treatment
modalities
was
performed
a
brief
description
each
provided.
Results
interface
has
been
shown
to
be
less
effective
than
natural
teeth
resisting
bacterial
invasion
because
gingival
fiber
alignment
reduced
vascular
supply
make
it
more
vulnerable
subsequent
disease
future
bone
loss
And
we
summarized
common
procedures
which
have
preventing
peri‐implantitis
progression
clinical
techniques
utilized
regenerate
with
advanced
cases
peri‐implantitis.
Conclusion
Due
difference
between
teeth,
clinicians
patients
should
pay
attention
recovery
International Journal of Medical Sciences,
Год журнала:
2017,
Номер
14(8), С. 721 - 728
Опубликована: Янв. 1, 2017
Clinical
features
of
surgical
soft
tissue
wound
healing
in
dentistry
have
been
rarely
discussed
the
international
literature.The
aim
present
paper
is
to
highlight
both
main
clinical
findings
healing,
especially
periodontal
and
implant
dentistry,
monitoring
procedures
which
should
be
followed.Wound
inspection
after
careful
food
plaque
debridement
essential
part
monitoring.Periodontal
peri-implant
probing
performed
only
has
completed
not
on
a
weekly
basis
monitoring.Telephone
follow-up
patient
self-assessment
scales
can
also
used
days
following
surgery
monitor
most
common
complications
such
as
pain,
swelling,
bleeding,
bruising.Wound
an
important
concern
all
since
it
allows
identify
signs
or/and
symptoms
possibly
related
complications.