Oral Implantol (Rome). 2016 Nov 13;9(3):143-150. doi: 10.11138/orl/2016.9.3.143. eCollection 2016.
Increasing volume of vestibular soft tissues in flapless implant surgery through a modified connective punch technique: a controlled clinical trial.
ORAL & implantology
M Andreasi Bassi, C Andrisani, S Lico, F Silvestre, M Gargari, C Arcuri
Affiliations
Affiliations
- Private practice, Rome, Italy.
- Private practice, Matera, Italy.
- Private practice, Olevano Romano, (Rome), Italy.
- Departimento de Estomatologia, University of Valencia, Valencia, Spain.
- Department of Clinical Sciences and Translational Medicine, University of "Tor Vergata", Rome, Italy. Department of dentistry "Fra G.B. Orsenigo - Ospedale San Pietro F.B.F.", Rome, Italy.
- Department of Clinical Sciences and Translational Medicine, University of "Tor Vergata", Rome, Italy.
PMID: 28042442
PMCID: PMC5159923 DOI: 10.11138/orl/2016.9.3.143
Abstract
PURPOSE: The aim of this article is to make a comparative assessment between the modification of the soft-tissue profile, around the healing cap screws (HCSs), following both the traditional flapless surgery (TFS) and a new modified flapless surgery, named Modified Connective Tissue Punch (MCTP) technique.
MATERIALS AND METHODS: 8 patients (3M and 5F) (mean age 54.25±11.247 years) were enrolled in this study. Sixteen two-piece implants were placed on upper jaws, 2 for each patient, 8 with TFS and 8 with MCTP technique. In each patient the implants were placed in edentulous areas, of 2 or 3 adjacent teeth long. MCTP technique was performed on the front implant site (FIS) while the TFS was performed on the rear implant site (RIS). All implants were inserted and covered with healing cap screws (HCSs). Alginate impressions were carried out at the moment of the surgery, at 1 month and 4 months post-operative. Plaster models were poured and subsequently digitally scanned, in order to measure the distance between the gingival outline and the free margin of the HCS. The recorded values were analyzed with the ANOVA test.
RESULTS: The use of MTCP technique, in comparison to TFS, showed a significative better outcome, in terms of vertical increments, of gingiva, on the VS toward the HCSs, during the entire observation period (p = 0.000 for all).
CONCLUSION: The Authors recommend the use of MCTP technique for a better vestibular soft tissue outcome in flapless implant surgery.
Keywords: creeping attachment; flapless surgery; gingival keratinized tissue; gingival thickness; soft-tissue profile
References
- Med Sci Law. 2013 Jan;53(1):19-23 - PubMed
- J Biomed Opt. 2014;19(7):76003 - PubMed
- J Clin Periodontol. 2014 Oct;41(10):958-71 - PubMed
- Clin Implant Dent Relat Res. 2005;7 Suppl 1:S21-7 - PubMed
- Br Dent J. 2006 Aug 12;201(3):139-52 - PubMed
- Case Rep Dent. 2014;2014:756908 - PubMed
- J Cosmet Laser Ther. 2004 Nov;6(3):136-44 - PubMed
- J Periodontol. 1980 Dec;51(12):681-5 - PubMed
- Dent Traumatol. 2011 Feb;27(1):40-5 - PubMed
- Int J Periodontics Restorative Dent. 1999 Aug;19(4):385-93 - PubMed
- J Periodontol. 2009 Feb;80(2):347-52 - PubMed
- J Oral Maxillofac Surg. 2007 Jul;65(7 Suppl 1):20-32 - PubMed
- J Periodontol. 1978 Oct;49(10):513-7 - PubMed
- J Oral Maxillofac Surg. 2008 May;66(5):1015-21 - PubMed
- Med Sci Law. 2010 Jul;50(3):122-5 - PubMed
- J Can Dent Assoc. 2003 Jul-Aug;69(7):432-5 - PubMed
- J Periodontol. 1997 Sep;68(9):890-9 - PubMed
- J Clin Periodontol. 2011 Aug;38(8):754-61 - PubMed
- J Biol Regul Homeost Agents. 2016 Apr-Jun;30(2 Suppl 1):29-34 - PubMed
- J Periodontol. 1976 Oct;47(10):574-9 - PubMed
- Compend Contin Educ Dent. 2001 Mar;22(3):199-206; quiz 208 - PubMed
- J Forensic Sci. 2012 Nov;57(6):1656-8 - PubMed
- J Clin Exp Dent. 2015 Feb 01;7(1):e146-52 - PubMed
- J Periodontol. 2006 May;77(5):874-82 - PubMed
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