Soft tissue augmentation applying a collagenated porcine dermal matrix during second stage surgery: A prospective multicenter case series
dc.contributor.author | Fischer, Kai R. | |
dc.contributor.author | Testori, Tiziano | |
dc.contributor.author | Wachtel, Hannes | |
dc.contributor.author | Mühlemann, Sven | |
dc.contributor.author | Happe, Arndt | |
dc.contributor.author | Del Fabbro, Massimo | |
dc.date.accessioned | 2020-01-13T15:17:18Z | |
dc.date.available | WITHHELD_10_MONTHS | |
dc.date.available | 2020-01-13T15:17:18Z | |
dc.date.issued | 2019-10 | |
dc.identifier.citation | Fischer, Kai R.; Testori, Tiziano; Wachtel, Hannes; Mühlemann, Sven ; Happe, Arndt; Del Fabbro, Massimo (2019). "Soft tissue augmentation applying a collagenated porcine dermal matrix during second stage surgery: A prospective multicenter case series." Clinical Implant Dentistry and Related Research 21(5): 923-930. | |
dc.identifier.issn | 1523-0899 | |
dc.identifier.issn | 1708-8208 | |
dc.identifier.uri | https://hdl.handle.net/2027.42/153091 | |
dc.description.abstract | BackgroundThe achievement and preservation of an adequate amount of soft tissue around implants is a critical factor for the prognosis of the treatment.PurposeTo evaluate the effectiveness of a porcine dermal matrix applied during second stage implant surgery for horizontal soft tissue augmentation and preservation of dimensional stability.Materials and MethodsTwenty patients (mean age 50.2 ± 11.9 [SD] years) candidate to implant therapy and requiring soft tissue augmentation were recruited in four centers. Augmentation was performed in 24 cases. A porcine dermal matrix was placed into a buccal split‐thickness pouch during uncovering surgery. Silicone impressions were taken before surgery (T0), 2 weeks later at suture removal (T2), 6 months (T3), and 24 months (T4) post augmentation. Dimensional changes of soft tissue were evaluated using superimposition of digitalized study casts.ResultsNineteen patients (23 implants) could be evaluated at 6 months and 13 patients (17 implants) at 24 months. After 6‐month follow‐up, there was a significant dimensional gain respect to baseline, averaging 0.83 ± 0.64 mm (P < .01). This did not change significantly at 24 months (0.77 ± 0.65 mm, P = .19). The gain was >0.5 mm in 65.2% and 64.7% of the cases, respectively. Soft tissue shrinkage averaged 34.2% ± 77.0% from T2 to T3 (P < .01) and did not change thereafter (P = .39). Shrinkage was more consistent in the posterior mandible than in the maxilla, but not significantly (P = .23 at 6‐month and .36 at 24‐month). No adverse events occurred.ConclusionWithin the limitations of this prospective case series, the use of a porcine dermal matrix may provide consistent soft tissue augmentation that maintains up to 24‐month follow‐up, although graft shrinkage may occur in the first 6 months, depending on the location of surgery. | |
dc.publisher | John Wiley & Sons, Inc. | |
dc.subject.other | acellular dermal matrix | |
dc.subject.other | dental implant | |
dc.subject.other | gingival thickness | |
dc.subject.other | second stage surgery | |
dc.subject.other | soft tissue augmentation | |
dc.title | Soft tissue augmentation applying a collagenated porcine dermal matrix during second stage surgery: A prospective multicenter case series | |
dc.type | Article | |
dc.rights.robots | IndexNoFollow | |
dc.subject.hlbsecondlevel | Dentistry | |
dc.subject.hlbtoplevel | Health Sciences | |
dc.description.peerreviewed | Peer Reviewed | |
dc.description.bitstreamurl | https://deepblue.lib.umich.edu/bitstream/2027.42/153091/1/cid12817.pdf | |
dc.description.bitstreamurl | https://deepblue.lib.umich.edu/bitstream/2027.42/153091/2/cid12817_am.pdf | |
dc.identifier.doi | 10.1111/cid.12817 | |
dc.identifier.source | Clinical Implant Dentistry and Related Research | |
dc.identifier.citedreference | Bassetti RG, Stahli A, Bassetti MA, Sculean A. Soft tissue augmentation around osseointegrated and uncovered dental implants: a systematic review. Clin Oral Invest. 2017; 21: 53 ‐ 70. | |
dc.identifier.citedreference | Thoma DS, Benic GI, Zwahlen M, Hammerle CH, Jung RE. A systematic review assessing soft tissue augmentation techniques. Clin Oral Implants Res. 2009; 20 ( Suppl 4 ): 146 ‐ 165. | |
dc.identifier.citedreference | Zuhr O, Baumer D, Hurzeler M. The addition of soft tissue replacement grafts in plastic periodontal and implant surgery: critical elements in design and execution. J Clin Periodontol. 2014; 41 ( suppl 15 ): S123 ‐ S142. | |
dc.identifier.citedreference | Sanz M, Simion M. Working Group 3 of the European Workshop on Periodontology. Surgical techniques on periodontal plastic surgery and soft tissue regeneration: consensus report of Group 3 of the 10th European Workshop on Periodontology. J Clin Periodontol. 2014; 41 ( suppl 15 ): S92 ‐ S97. | |
dc.identifier.citedreference | Pabst AM, Happe A, Callaway A, et al. In vitro and in vivo characterization of porcine acellular dermal matrix for gingival augmentation procedures. J Periodontal Res. 2014; 49: 371 ‐ 381. | |
dc.identifier.citedreference | Sanz M, Lorenzo R, Aranda JJ, Martin C, Orsini M. Clinical evaluation of a new collagen matrix (mucograft prototype) to enhance the width of keratinized tissue in patients with fixed prosthetic restorations: a randomized prospective clinical trial. J Clin Periodontol. 2009; 36: 868 ‐ 876. | |
dc.identifier.citedreference | Ghanaati S, Schlee M, Webber MJ, et al. Evaluation of the tissue reaction to a new bilayered collagen matrix in vivo and its translation to the clinic. Biomed Mater. 2011; 6: 015010. https://doi.org/10.1088/1748-6041/6/1/015010. | |
dc.identifier.citedreference | Schmitt CM, Tudor C, Kiener K, et al. Vestibuloplasty: porcine collagen matrix versus free gingival graft: a clinical and histologic study. J Periodontol. 2013; 84: 914 ‐ 923. | |
dc.identifier.citedreference | Nocini PF, Castellani R, Zanotti G, et al. Extensive keratinized tissue augmentation during implant rehabilitation after Le Fort I osteotomy: using a new porcine collagen membrane (mucoderm). J Craniofac Surg. 2014; 25: 799 ‐ 803. | |
dc.identifier.citedreference | Thoma DS, Naenni N, Benic GI, Hammerle CH, Jung RE. Soft tissue volume augmentation at dental implant sites using a volume stable three‐dimensional collagen matrix—histological outcomes of a preclinical study. J Clin Periodontol. 2017; 44: 185 ‐ 194. | |
dc.identifier.citedreference | Schmitt CM, Matta RE, Moest T, et al. Soft tissue volume alterations after connective tissue grafting at teeth: the subepithelial autologous connective tissue graft versus a porcine collagen matrix—a pre‐clinical volumetric analysis. J Clin Periodontol. 2016; 43: 609 ‐ 617. | |
dc.identifier.citedreference | Thoma DS, Jung RE, Schneider D, et al. Soft tissue volume augmentation by the use of collagen‐based matrices: a volumetric analysis. J Clin Periodontol. 2010; 37: 659 ‐ 666. | |
dc.identifier.citedreference | Guo J, Chen H, Wang Y, Cao C‐B, Guan G‐Q. A novel porcine acellular dermal matrix scaffold used in periodontal regeneration. Int J Dent Sci. 2013; 5: 37 ‐ 43. | |
dc.identifier.citedreference | Fickl S, Nannmark U, Schlagenhauf U, Hurzeler MB, Kebschull M. Porcine dermal matrix in the treatment of dehiscence‐type defects—an experimental split‐mouth animal trial. Clin Oral Implants Res. 2015; 26: 799 ‐ 805. | |
dc.identifier.citedreference | Fickl S, Jockel‐Schneider Y, Lincke T, Bechtold M, Fischer KR, Schlagenhauf U. Porcine dermal matrix for covering of recession type defects: a case series. Quintessence Int. 2013; 44: 243 ‐ 246. | |
dc.identifier.citedreference | Zafiropoulos GG, Deli G, Hoffmann O, John G. Changes of the peri‐implant soft tissue thickness after grafting with a collagen matrix. J Indian Soc Periodontol. 2016; 20: 441 ‐ 445. | |
dc.identifier.citedreference | Linkevicius T, Puisys A, Linkeviciene L, Peciuliene V, Schlee M. Crestal bone stability around implants with horizontally matching connection after soft tissue thickening: a prospective clinical trial. Clin Implant Dent Relat Res. 2015; 17: 497 ‐ 508. | |
dc.identifier.citedreference | Fischer KR, Fickl S, Mardas N, Bozec L, Donos N. Stage‐two surgery using collagen soft tissue grafts: clinical cases and ultrastructural analysis. Quintessence Int. 2014; 45: 853 ‐ 860. | |
dc.identifier.citedreference | Windisch SI, Jung RE, Sailer I, Studer SP, Ender A, Hammerle CH. A new optical method to evaluate three‐dimensional volume changes of alveolar contours: a methodological in vitro study. Clin Oral Implants Res. 2007; 18: 545 ‐ 551. | |
dc.identifier.citedreference | Fickl S, Schneider D, Zuhr O, et al. Dimensional changes of the ridge contour after socket preservation and buccal overbuilding: an animal study. J Clin Periodontol. 2009; 36: 442 ‐ 448. | |
dc.identifier.citedreference | van Brakel R, Noordmans HJ, Frenken J, de Roode R, de Wit GC, Cune MS. The effect of zirconia and titanium implant abutments on light reflection of the supporting soft tissues. Clin Oral Implants Res. 2011; 22: 1172 ‐ 1178. | |
dc.identifier.citedreference | Puisys A, Linkevicius T. The influence of mucosal tissue thickening on crestal bone stability around bone‐level implants. A prospective controlled clinical trial. Clin Oral Implants Res. 2015; 26: 123 ‐ 129. | |
dc.identifier.citedreference | Puisys A, Vindasiute E, Linkevciene L, Linkevicius T. The use of acellular dermal matrix membrane for vertical soft tissue augmentation during submerged implant placement: a case series. Clin Oral Implants Res. 2015; 26: 465 ‐ 470. | |
dc.identifier.citedreference | Batista EL Jr, Batista FC, Novaes AB Jr. Management of soft tissue ridge deformities with acellular dermal matrix. Clinical approach and outcome after 6 months of treatment. J Periodontol. 2001; 72: 265 ‐ 273. | |
dc.identifier.citedreference | De Bruyckere T, Eghbali A, Younes F, De Bruyn H, Cosyn J. Horizontal stability of connective tissue grafts at the buccal aspect of single implants: a 1‐year prospective case series. J Clin Periodontol. 2015; 42: 876 ‐ 882. | |
dc.identifier.citedreference | Gallucci GO, Morton D, Weber HP. Loading protocols for dental implants in edentulous patients. Int J Oral Maxillofac Implants. 2009; 24 ( suppl ): 132 ‐ 146. | |
dc.identifier.citedreference | Jung RE, Zembic A, Pjetursson BE, Zwahlen M, Thoma DS. Systematic review of the survival rate and the incidence of biological, technical, and aesthetic complications of single crowns on implants reported in longitudinal studies with a mean follow‐up of 5 years. Clin Oral Implants Res. 2012; 23 ( Suppl 6 ): 2 ‐ 21. | |
dc.identifier.citedreference | Pjetursson BE, Thoma D, Jung R, Zwahlen M, Zembic A. A systematic review of the survival and complication rates of implant‐supported fixed dental prostheses (FDPs) after a mean observation period of at least 5 years. Clin Oral Implants Res. 2012; 23 ( suppl 6 ): 22 ‐ 38. | |
dc.identifier.citedreference | Benic GI, Mokti M, Chen CJ, Weber HP, Hämmerle CH, Gallucci GO. Dimensions of buccal bone and mucosa at immediately placed implants after 7 years: a clinical and cone beam computed tomography study. Clin Oral Implants Res. 2012; 23: 560 ‐ 566. | |
dc.identifier.citedreference | Thoma DS, Buranawat B, Hammerle CH, Held U, Jung RE. Efficacy of soft tissue augmentation around dental implants and in partially edentulous areas: a systematic review. J Clin Periodontol. 2014; 41 ( suppl 15 ): S77 ‐ S91. | |
dc.identifier.citedreference | Studer S, Naef R, Scharer P. Adjustment of localized alveolar ridge defects by soft tissue transplantation to improve mucogingival esthetics: a proposal for clinical classification and an evaluation of procedures. Quintessence Int. 1997; 28: 785 ‐ 805. | |
dc.identifier.citedreference | Studer SP, Lehner C, Bucher A, Scharer P. Soft tissue correction of a single‐tooth pontic space: a comparative quantitative volume assessment. J Prosthet Dent. 2000; 83: 402 ‐ 411. | |
dc.identifier.citedreference | Schneider D, Grunder U, Ender A, Hammerle CH, Jung RE. Volume gain and stability of peri‐implant tissue following bone and soft tissue augmentation: 1‐year results from a prospective cohort study. Clin Oral Implants Res. 2011; 22: 28 ‐ 37. | |
dc.identifier.citedreference | Grunder U. Crestal ridge width changes when placing implants at the time of tooth extraction with and without soft tissue augmentation after a healing period of 6 months: report of 24 consecutive cases. Int J Periodontics Restorative Dent. 2011; 31: 9 ‐ 17. | |
dc.identifier.citedreference | Tsuda H, Rungcharassaeng K, Kan JY, Roe P, Lozada JL, Zimmerman G. Peri‐implant tissue response following connective tissue and bone grafting in conjunction with immediate single‐tooth replacement in the Esthetic zone: a case series. Int J Oral Maxillofac Implants. 2011; 26: 427 ‐ 436. | |
dc.identifier.citedreference | Akcali A, Schneider D, Unlu F, Bicakci N, Kose T, Hammerle CH. Soft tissue augmentation of ridge defects in the maxillary anterior area using two different methods: a randomized controlled clinical trial. Clin Oral Implants Res. 2015; 26: 688 ‐ 695. | |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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