Universität zu Köln

Lissek, Martin, Boeker, Martin ORCID: 0000-0003-2972-2042 and Happe, Arndt (2020). How Thick Is the Oral Mucosa around Implants after Augmentation with Different Materials: A Systematic Review of the Effectiveness of Substitute Matrices in Comparison to Connective Tissue Grafts. Int. J. Mol. Sci., 21 (14). BASEL: MDPI. ISSN 1422-0067

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Abstract

This systematic review aimed to assess the effectiveness of xenogeneic collagen matrices (XCMs) and acellular dermal matrices (ADMs) in comparison to connective tissue grafts (CTGs) for the augmentation of oral mucosa around dental implants. MEDLINE and the Web of Science were searched for clinical studies that compared substitute materials for the augmentation of oral mucosa to the subepithelial connective tissue graft around dental implants during or after implantation. The review was conducted according to the recommendations of the PRISMA statement. From an initial search result set of 1050 references, seven articles were included in the review. The study designs were heterogeneous, so no meta-analysis could be performed. Both the CTG and either type of substitute material resulted in increased mucosal thickness. Four studies showed no significant difference, while three demonstrated a significant difference, favoring the CTGs over alternative materials. Soft tissue augmentation around dental implants is a safe procedure and leads to thicker mucosal tissue. The subepithelial connective tissue graft can still be regarded as the gold standard, but substitute materials may be an acceptable alternative in some situations, such as for pain-sensitive patients, among inexperienced surgeons, and for sites with an already thick biotype.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Lissek, Martin UNSPECIFIED UNSPECIFIED UNSPECIFIED Boeker, Martin UNSPECIFIED orcid.org/0000-0003-2972-2042 UNSPECIFIED Happe, Arndt UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-327384
DOI:	10.3390/ijms21145043
Journal or Publication Title:	Int. J. Mol. Sci.
Volume:	21
Number:	14
Date:	2020
Publisher:	MDPI
Place of Publication:	BASEL
ISSN:	1422-0067
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language XENOGENEIC COLLAGEN MATRIX; SOFT-TISSUE; DENTAL IMPLANTS; IN-VITRO; VOLUME; BONE; PLACEMENT; STABILITY; INCREASE; OUTCOMES Multiple languages Biochemistry & Molecular Biology; Chemistry, Multidisciplinary Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/32738