Research progress, classification and treatment recommendations of peri-implant buccal soft tissue dehiscence

doi:10.3877/cma.j.issn.1674-1366.2023.01.002

Abstract

Abstract:

Peri-implant buccal soft tissue dehiscence (PSTD) is a common clinical complication after oral implantation. PSTD can be defined as an apical migration of the peri-implant soft tissue for more than 1 mm from the baseline examination (final restoration) or in comparison with the adjacent or contralateral natural tooth, exposing part of the prosthetic components, the implant shoulder or surface. PSTD may jeopardize the aesthetic outcome and increase the incidence of biological complications. The research on PSTD is lacking at present. The definition and classification of PSTD have not been standardized. The treatment for soft tissue dehiscence was controversial. With the increasing aesthetic demands of patients, the treatment of PSTD becomes more and more urgent. Therefore, we reviewed the research progress on peri-implant buccal soft tissue dehiscence. We clearly defined the concept, indications and treatment goals of PSTD, and identified the factors associated with the occurrence of PSTD. We also presented a new classification system of PSTD at single implant site and provided treatment recommendations. Furthermore, we provided several implications for the prevention and control of PSTD to improve patients′ satisfaction.

Key words: Peri-implant buccal soft tissue dehiscence, Dental implantation, Marginal mucosa, Esthetics, Gingival papilla

Xiaoqiong Huang, Feilong Deng. Research progress, classification and treatment recommendations of peri-implant buccal soft tissue dehiscence[J]. Chinese Journal of Stomatological Research(Electronic Edition), 2023, 17(01): 10-14.

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References 24

[1]	Tavelli L, Barootchi S, Avila-Ortiz G，et al. Peri-implant soft tissue phenotype modification and its impact on peri-implant health：A systematic review and network meta-analysis[J]. J Periodontol，2021，92（1）：21-44. DOI：10.1002/JPER.19-0716.
[2]	Avila-Ortiz G, Gonzalez-Martin O, Couso-Queiruga E，et al. The peri-implant phenotype[J]. J Periodontol，2020，91（3）：283-288. DOI：10.1002/JPER.19-0566.
[3]	Sanz M, Heitz-Mayfield L. Consensus report of DGI/SEPA/Osteology Workshop[J]. Clin Oral Implants Res，2022，33（Suppl 23）：3-7. DOI：10.1111/clr.13950.
[4]	Sanz M, Schwarz F, Herrera D，et al. Importance of keratinized mucosa around dental implants：Consensus report of group 1 of the DGI/SEPA/Osteology workshop[J]. Clin Oral Implants Res，2022，33（Suppl 23）：47-55. DOI：10.1111/clr.13956.
[5]	Jung RE, Becker K, Bienz SP，et al. Effect of peri-implant mucosal thickness on esthetic outcomes and the efficacy of soft tissue augmentation procedures：Consensus report of group 2 of the SEPA/DGI/OF workshop[J]. Clin Oral Implants Res，2022，33（Suppl 23）：100-108. DOI：10.1111/clr.13955.
[6]	Guerrero A, Heitz-Mayfield LJA, Beuer F，et al. Occurrence，associated factors and soft tissue reconstructive therapy for buccal soft tissue dehiscence at dental implants：Consensus report of group 3 of the DGI/SEPA/Osteology workshop[J]. Clin Oral Implants Res，2022，33（Suppl 23）：137-144. DOI：10.1111/clr.13952.
[7]	Sanz-Martín I, Regidor E, Navarro J，et al. Factors associated with the presence of peri-implant buccal soft tissue dehiscences：A case-control study[J]. J Periodontol，2020，91（8）：1003-1010. DOI：10.1002/JPER.19-0490.
[8]	Sanz-Martín I, Regidor E, Cosyn J，et al. Buccal soft tissue dehiscence defects at dental implants-associated factors and frequency of occurrence：A systematic review and meta-analysis [J]. Clin Oral Implants Res，2022，33（Suppl 23）：109-124. DOI：10.1111/clr.13888.
[9]	Zucchelli G, Tavelli L, Stefanini M，et al. Classification of facial peri-implant soft tissue dehiscence/deficiencies at single implant sites in the esthetic zone[J]. J Periodontol，2019，90（10）：1116-1124. DOI：10.1002/JPER.18-0616.
[10]	Gamborena I, Avila-Ortiz G. Peri-implant marginal mucosa defects：Classification and clinical management[J]. J Periodontol，2021，92（7）：947-957. DOI：10.1002/JPER.20-0519.
[11]	Cordaro L, Torsello F, Roccuzzo M. Clinical outcome of submerged vs. non-submerged implants placed in fresh extraction sockets[J]. Clin Oral Implants Res，2009，20（12）：1307-1313. DOI：10.1111/j.1600-0501.2009.01724.x.
[12]	Cosyn J, Eghbali A, de Bruyn H，et al. Immediate single-tooth implants in the anterior maxilla：3-year results of a case series on hard and soft tissue response and aesthetics[J]. J Clin Periodontol，2011，38（8）：746-753. DOI：10.1111/j.1600-051X.2011.01748.x.
[13]	Seyssens L, de Lat L, Cosyn J. Immediate implant placement with or without connective tissue graft：A systematic review and meta-analysis[J]. J Clin Periodontol，2021，48（2）：284-301. DOI：10.1111/jcpe.13397.
[14]	Dierens M, de Bruecker E, Vandeweghe S，et al. Alterations in soft tissue levels and aesthetics over a 16-22 year period following single implant treatment in periodontally-healthy patients：A retrospective case series[J]. J Clin Periodontol，2013，40（3）：311-318. DOI：10.1111/jcpe.12049.
[15]	Nisapakultorn K, Suphanantachat S, Silkosessak O，et al. Factors affecting soft tissue level around anterior maxillary single-tooth implants[J]. Clin Oral Implants Res，2010，21（6）：662-670. DOI：10.1111/j.1600-0501.2009.01887.x.
[16]	Bittner N, Schulze-Späte U, Silva C，et al. Changes of the alveolar ridge dimension and gingival recession associated with implant position and tissue phenotype with immediate implant placement：A randomised controlled clinical trial[J]. Int J Oral Implantol（Berl），2019，12（4）：469-480.
[17]	Cosyn J, Hooghe N, de Bruyn H. A systematic review on the frequency of advanced recession following single immediate implant treatment[J]. J Clin Periodontol，2012，39（6）：582-589. DOI：10.1111/j.1600-051X.2012.01888.x.
[18]	Fu JH, Su CY, Wang HL. Esthetic soft tissue management for teeth and implants[J]. J Evid Based Dent Pract，2012，12（3 Suppl）：129-142. DOI：10.1016/s1532-3382(12)70025-8.
[19]	Bienz SP, Pirc M, Papageorgiou SN，et al. The influence of thin as compared to thick peri-implant soft tissues on aesthetic outcomes：A systematic review and meta-analysis[J]. Clin Oral Implants Res，2022，33（Suppl 23）：56-71. DOI：10.1111/clr.13789.
[20]	Weinfurt KP, Reeve BB. Patient-reported outcome measures in clinical research[J]. JAMA，2022，328（5）：472-473. DOI：10.1001/jama.2022.11238.
[21]	Stefanini M, Tavelli L, Barootchi S，et al. Patient-reported outcome measures following soft-tissue grafting at implant sites：A systematic review[J]. Clin Oral Implants Res，2021，32（Suppl 21）：157-173. DOI：10.1111/clr.13767.
[22]	Soetebeer M, Jennes ME, Antonoglou GN，et al. Effectiveness of soft tissue augmentation procedures for coverage of buccal soft tissue dehiscence around dental implants：A systematic review [J]. Clin Oral Implants Res，2022，33（Suppl 23）：125-136. DOI：10.1111/clr.13918.
[23]	Mazzotti C, Stefanini M, Felice P，et al. Soft-tissue dehiscence coverage at peri-implant sites[J]. Periodontol 2000，2018，77（1）：256-272. DOI：10.1111/prd.12220.
[24]	Zucchelli G, Mazzotti C, Mounssif I，et al. A novel surgical-prosthetic approach for soft tissue dehiscence coverage around single implant[J]. Clin Oral Implants Res，2013，24（9）：957-962. DOI：10.1111/clr.12003.

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