INVITED REVIEW
Year : 2015  |  Volume : 7  |  Issue : 3  |  Page : 119-131

Soft tissue and esthetic considerations around implants


1 Department of Periodontology, Krishnadevaraya Dental College, Bangalore, India
2 Department of Periodontology, Dr BR Ambedkar Institute of Dental Sciences, Patna, India

Correspondence Address:
Sangeeta Dhir
Smi'line Dental Suite TA-12, 3rd Floor Crown Plaza, Faridabad (Delhi-NCR) Haryana
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2231-0754.172941

Rights and Permissions

The health of the peri – implant tissues play an important in the long term outcome of dental implants. The absence of keratinized gingiva (KG) may be a risk factor for developing recession or peri –implantitis. However there is still ambiguity in the need for keratinized gingiva around dental implants. The preservation and reconstruction of soft tissue around dental implants is an integral component of dental Implantology. There is no long-term evidence whether augmented soft tissues can be maintained over time and are able to influence the peri-implant bone levels. Among the various soft tissue augmentation techniques Apically positioned flap with vestibuloplasty , Free gingival grafts and Connective tissue grafts are documented as the most predictable methods to increase the width of KG. Autogenous grafts increase the soft tissue thickness and improve aesthetics compared to non-grafted sites. The aim of this review is to critically discuss the need for KG around implants and the techniques to preserve and augment KG. It is difficult to arrive at a definitive conclusion due to scarcity of well designed studies in literature. Reliable evidence is lacking to suggest the ideal soft tissue augmentation/preservation techniques. Long term randomized controlled clinical trials are needed to provide a clearer image.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed6095    
    Printed78    
    Emailed1    
    PDF Downloaded972    
    Comments [Add]    

Recommend this journal