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Significance of buccal bone wall thickness on the fate of peri-implant hard and soft tissues: A systematic review
dc.contributor.authorMonje, Alberto
dc.contributor.authorRoccuzzo, Andrea
dc.contributor.authorBuser, Daniel
dc.contributor.authorWang, Hom-Lay
dc.date.accessioned2023-04-04T17:41:37Z
dc.date.available2024-04-04 13:41:35en
dc.date.available2023-04-04T17:41:37Z
dc.date.issued2023-03
dc.identifier.citationMonje, Alberto; Roccuzzo, Andrea; Buser, Daniel; Wang, Hom-Lay (2023). "Significance of buccal bone wall thickness on the fate of peri- implant hard and soft tissues: A systematic review." Clinical Oral Implants Research (3): 157-176.
dc.identifier.issn0905-7161
dc.identifier.issn1600-0501
dc.identifier.urihttps://hdl.handle.net/2027.42/176069
dc.description.abstractBackgroundThe significance of the association between the peri-implant buccolingual dimension (BLD) at the stage of implant placement and the occurrence of biological and esthetic complications is yet unknown.Material and MethodsSystematic screening of electronic sources was carried out to identify clinical and preclinical studies reporting on the baseline BLD and/or buccal bone thickness (BBT) values. A secondary objective was to assess the effect of simultaneous grafting at sites with deficient or no buccal bone wall (BBW) at baseline. The primary outcome variables were BBT, BLD, and vertical bone loss (VBL) at re-evaluation. Moreover, radiographic, clinical- and patient-reported outcome measures (PROMs) were evaluated.ResultsOverall, 12 clinical and four preclinical studies met the inclusion criteria. The clinical evidence demonstrated that during healing, dimensional changes occur in the alveolar bone and in the BBW that may compromise the integrity of bone around a dental implant. The preclinical evidence validated the fact that implants placed in the presence of thin BBW are more prone to exhibit major dimensional changes. Moreover, the clinical and preclinical data supported that in scenarios where dehiscence-type defects are left for spontaneous healing, greater VBL and mucosal recession (MR) together with the occurrence of biologic complications are expected. Furthermore, the augmentation of dehiscence-type defects is associated with hard and soft tissue stability.ConclusionsDimensional changes occur as a result of implant placement in healed ridges that may lead to VBL and MR. Thin BBW (≲2 mm) are prone to exhibit major postchanges that may compromise the integrity of the buccal bone, biologic and esthetic complications.
dc.publisherWiley Periodicals, Inc.
dc.subject.otherbiomaterials
dc.subject.otherbone implant interactions
dc.subject.otherbone regeneration
dc.subject.otherguided tissue regeneration
dc.titleSignificance of buccal bone wall thickness on the fate of peri-implant hard and soft tissues: A systematic review
dc.typeArticle
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelDentistry
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/176069/1/clr14029.pdf
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/176069/2/clr14029_am.pdf
dc.identifier.doi10.1111/clr.14029
dc.identifier.sourceClinical Oral Implants Research
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