Vertical soft tissue augmentation to treat implant esthetic complications: A prospective clinical and volumetric case series
dc.contributor.author | Tavelli, Lorenzo | |
dc.contributor.author | Zucchelli, Giovanni | |
dc.contributor.author | Stefanini, Martina | |
dc.contributor.author | Rasperini, Giulio | |
dc.contributor.author | Wang, Hom-Lay | |
dc.contributor.author | Barootchi, Shayan | |
dc.date.accessioned | 2023-05-01T19:10:23Z | |
dc.date.available | 2024-05-01 15:10:21 | en |
dc.date.available | 2023-05-01T19:10:23Z | |
dc.date.issued | 2023-04 | |
dc.identifier.citation | Tavelli, Lorenzo; Zucchelli, Giovanni; Stefanini, Martina; Rasperini, Giulio; Wang, Hom-Lay ; Barootchi, Shayan (2023). "Vertical soft tissue augmentation to treat implant esthetic complications: A prospective clinical and volumetric case series." Clinical Implant Dentistry and Related Research 25(2): 204-214. | |
dc.identifier.issn | 1523-0899 | |
dc.identifier.issn | 1708-8208 | |
dc.identifier.uri | https://hdl.handle.net/2027.42/176261 | |
dc.description.abstract | IntroductionChallenging implant esthetic complications are often characterized by implant malpositioning and interproximal attachment loss of the adjacent teeth. However, limited evidence is available on the treatment of these conditions. The aim of this study was to evaluate the clinical, volumetric, and patient-reported outcome following treatment of peri-implant soft tissue dehiscences (PSTDs) exhibiting interproximal attachment loss on adjacent teeth, performed through vertical soft tissue augmentation with implant submersion.MethodsTen subjects with isolated PSTD in the anterior maxilla characterized by adjacent dentition exhibiting interproximal attachment loss were consecutively enrolled and treated with horizontal and vertical soft tissue augmentation, involving crown and abutment removal, two connective tissue grafts, and submerge healing. Clinical outcomes of interest included mean PSTD coverage, mean PSTD reduction, clinical attachment level (CAL) gain at the implant and adjacent sites and soft tissue phenotype modifications at 1 year. Optical scanning was used for assessing volumetric changes. Professional assessment of esthetic outcomes was performed using the Implant Dehiscence coverage Esthetic Score (IDES), while patient-reported esthetic assessment involved a 0–10 visual analogue scale.ResultsThe mean PSTD depth reduction and mean PSTD coverage at 1 year were 2.25 mm, and 85.14%, respectively. A mean keratinized tissue width (KTW) gain of 1.15 mm was observed, while the mean gain in mucosal thickness (MT) was 1.58 mm. A mean CAL gain of 1.45 mm was obtained at the interproximal aspect of the adjacent dentition at 1 year. Greater linear dimensional (LD) changes were observed at the midfacial aspect of the implant compared to the interproximal sites. The mean final IDES was 6.90 points, while patient-reported esthetic evaluation was 8.83 points.ConclusionsThe present study demonstrated that vertical soft tissue augmentation with a submerged healing is an effective treatment approach for the treatment of challenging PSTDs with adjacent dentition exhibiting interproximal attachment loss. This technique can be effective in resolution of esthetic complications in most cases, providing a substantial gain in interproximal attachment levels at the adjacent dentition. | |
dc.publisher | John Wiley & Sons, Inc. | |
dc.subject.other | peri-implant soft tissue dehiscences | |
dc.subject.other | 3D analysis | |
dc.subject.other | connective tissue graft | |
dc.subject.other | dental implants | |
dc.subject.other | esthetic complications | |
dc.subject.other | patient-reported outcomes | |
dc.title | Vertical soft tissue augmentation to treat implant esthetic complications: A prospective clinical and volumetric 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 | http://deepblue.lib.umich.edu/bitstream/2027.42/176261/1/cid13188_am.pdf | |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/176261/2/cid13188-sup-0001-AppendixS1.pdf | |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/176261/3/cid13188.pdf | |
dc.identifier.doi | 10.1111/cid.13188 | |
dc.identifier.source | Clinical Implant Dentistry and Related Research | |
dc.identifier.citedreference | Barootchi S, Tavelli L, Majzoub J, Chan HL, Wang HL, Kripfgans OD. Ultrasonographic tissue perfusion in Peri-implant health and disease. J Dent Res. 2022; 101 ( 3 ): 278 - 285. | |
dc.identifier.citedreference | Agha RA, Fowler AJ, Rajmohan S, Barai I, Orgill DP, Group P. Preferred reporting of case series in surgery; the PROCESS guidelines. Int J Surg. 2016; 36 (Pt A): 319 - 323. | |
dc.identifier.citedreference | Miron RJ, Horrocks NA, Zhang Y, Horrocks G, Pikos MA, Sculean A. Extending the working properties of liquid platelet-rich fibrin using chemically modified PET tubes and the bio-cool device. Clin Oral Investig. 2022; 26 ( 3 ): 2873 - 2878. | |
dc.identifier.citedreference | Borges T, Fernandes D, Almeida B, et al. Correlation between alveolar bone morphology and volumetric dimensional changes in immediate maxillary implant placement: a 1-year prospective cohort study. J Periodontol. 2020; 91 ( 9 ): 1167 - 1176. | |
dc.identifier.citedreference | Parvini P, Galarraga-Vinueza ME, Obreja K, Magini RS, Sader R, Schwarz F. Prospective study assessing three-dimensional changes of mucosal healing following soft tissue augmentation using free gingival grafts. J Periodontol. 2021; 92 ( 3 ): 400 - 408. | |
dc.identifier.citedreference | Tavelli L, Barootchi S, Majzoub J, Siqueira R, Mendonca G, Wang HL. Volumetric changes at implant sites: a systematic appraisal of traditional methods and optical scanning-based digital technologies. J Clin Periodontol. 2021; 48 ( 2 ): 315 - 334. | |
dc.identifier.citedreference | Tavelli L, Barootchi S, Vera Rodriguez M, et al. Early soft tissue changes following implant placement with or without soft tissue augmentation using a xenogeneic cross-link collagen scaffold: a volumetric comparative study. J Esthet Restor Dent. 2022; 34 ( 1 ): 181 - 187. | |
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 ( 5 ): 442 - 448. | |
dc.identifier.citedreference | Tian J, Wei D, Zhao Y, Di P, Jiang X, Lin Y. Labial soft tissue contour dynamics following immediate implants and immediate provisionalization of single maxillary incisors: a 1-year prospective study. Clin Implant Dent Relat Res. 2019; 21 ( 3 ): 492 - 502. | |
dc.identifier.citedreference | Barootchi S, Askar H, Ravida A, Gargallo-Albiol J, Travan S, Wang HL. Long-term clinical outcomes and cost-effectiveness of full-arch implant-supported zirconia-based and metal-acrylic fixed dental prostheses: a retrospective analysis. Int J Oral Maxillofac Implants. 2020; 35 ( 2 ): 395 - 405. | |
dc.identifier.citedreference | Barootchi S, Ravida A, Tavelli L, Wang HL. Nonsurgical treatment for peri-implant mucositis: a systematic review and meta-analysis. Int J Oral Implantol (Berl). 2020; 13 ( 2 ): 123 - 139. | |
dc.identifier.citedreference | Barootchi S, Wang HL. Peri-implant diseases: current understanding and management. Int J Oral Implantol (Berl). 2021; 14 ( 3 ): 263 - 282. | |
dc.identifier.citedreference | Urban IA, Barootchi S, Tavelli L, Wang HL. Inter-implant papilla reconstruction via a bone and soft tissue augmentation: a case report with a long-term follow-up. Int J Periodontics Restorative Dent. 2021; 41 ( 2 ): 169 - 175. | |
dc.identifier.citedreference | Wang II, Barootchi S, Tavelli L, Wang HL. The peri-implant phenotype and implant esthetic complications. Contemporary overview. J Esthet Restor Dent. 2021; 33 ( 1 ): 212 - 223. | |
dc.identifier.citedreference | Urban IA, Tattan M, Ravida A, Saleh M, Tavelli L, Avila-Ortiz G. Simultaneous alveolar ridge augmentation and periodontal regenerative therapy leveraging recombinant human platelet derived growth factor BB (rhPDGF-BB): a case report. Int J Periodontics Restorative Dent. 2022; 42 ( 5 ): 577 - 585. | |
dc.identifier.citedreference | Frisch E, Ratka-Kruger P. A new technique for peri-implant recession treatment: partially epithelialized connective tissue grafts. Description of the technique and preliminary results of a case series. Clin Implant Dent Relat Res. 2020; 22 ( 3 ): 403 - 408. | |
dc.identifier.citedreference | Tavelli L, Ravida A, Barootchi S, Chambrone L, Giannobile WV. Recombinant human platelet-derived growth factor: a systematic review of clinical findings in Oral regenerative procedures. JDR Clin Trans Res. 2021; 6 ( 2 ): 161 - 173. | |
dc.identifier.citedreference | Linkevicius T, Apse P, Grybauskas S, Puisys A. The influence of soft tissue thickness on crestal bone changes around implants: a 1-year prospective controlled clinical trial. Int J Oral Maxillofac Implants. 2009; 24 ( 4 ): 712 - 719. | |
dc.identifier.citedreference | Linkevicius T, Linkevicius R, Alkimavicius J, Linkeviciene L, Andrijauskas P, Puisys A. Influence of titanium base, lithium disilicate restoration and vertical soft tissue thickness on bone stability around triangular-shaped implants: a prospective clinical trial. Clin Oral Implants Res. 2018; 29 ( 7 ): 716 - 724. | |
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 ( 2 ): 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 ( 4 ): 465 - 470. | |
dc.identifier.citedreference | Puisys A, Zukauskas S, Kubilius R, et al. Clinical and histologic evaluations of porcine-derived collagen matrix membrane used for vertical soft tissue augmentation: a case series. Int J Periodontics Restorative Dent. 2019; 39 ( 3 ): 341 - 347. | |
dc.identifier.citedreference | Verardi S, Orsini M, Lombardi T, et al. Comparison between two different techniques for peri-implant soft tissue augmentation: porcine dermal matrix graft versus tenting screw. J Periodontol. 2019; 91: 1011 - 1017. | |
dc.identifier.citedreference | Zang J, Su L, Luan Q, Liu G, Li S, Yu X. Clinical and histological evaluation of the use of acellular dermal matrix (ADM) membrane in peri-implant vertical soft tissue augmentation: a controlled clinical trial. Clin Oral Implants Res. 2022; 33: 586 - 597. | |
dc.identifier.citedreference | Zhang Z, Shi D, Meng H, Han J, Zhang L, Li W. Influence of vertical soft tissue thickness on occurrence of peri-implantitis in patients with periodontitis: a prospective cohort study. Clin Implant Dent Relat Res. 2020; 22 ( 3 ): 292 - 300. | |
dc.identifier.citedreference | Chan D, Pelekos G, Ho D, Cortellini P, Tonetti MS. The depth of the implant mucosal tunnel modifies the development and resolution of experimental peri-implant mucositis: a case-control study. J Clin Periodontol. 2019; 46 ( 2 ): 248 - 255. | |
dc.identifier.citedreference | Ivanovski S, Lee R. Comparison of peri-implant and periodontal marginal soft tissues in health and disease. Periodontol. 2018; 76 ( 1 ): 116 - 130. | |
dc.identifier.citedreference | Sculean A, Gruber R, Bosshardt DD. Soft tissue wound healing around teeth and dental implants. J Clin Periodontol. 2014; 41 ( Suppl 15 ): S6 - S22. | |
dc.identifier.citedreference | Zucchelli G, Tavelli L, Stefanini M, Barootchi S, Wang HL. The coronally advanced flap technique revisited: treatment of peri-implant soft tissue dehiscences. Int J Oral Implantol (Berl). 2021; 14 ( 4 ): 351 - 365. | |
dc.identifier.citedreference | 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 Periodontol. 2019; 90 ( 10 ): 1116 - 1124. | |
dc.identifier.citedreference | Barootchi S, Mancini L, Heck T, et al. Reliability assessment of the classification for facial peri-implant soft tissue dehiscence/deficiencies (PSTDs): a multi-center inter-rater agreement study of different skill-level practitioners. J Periodontol. 2022; 93: 1173 - 1182. | |
dc.identifier.citedreference | Romandini M, Soldini MC, Montero E, Sanz M. Epidemiology of mid-buccal gingival recessions in NHANES according to the 2018 world workshop classification system. J Clin Periodontol. 2020; 47 ( 10 ): 1180 - 1190. | |
dc.identifier.citedreference | Tavelli L, Barootchi S, Majzoub J, et al. Prevalence and risk indicators of midfacial peri-implant soft tissue dehiscence at single site in the esthetic zone: a cross-sectional clinical and ultrasonographic study. J Periodontol. 2022; 93:857-866. | |
dc.identifier.citedreference | Barootchi S, Tavelli L, Di Gianfilippo R, et al. Soft tissue phenotype modification predicts gingival margin long-term (10-year) stability: longitudinal analysis of six randomized clinical trials. J Clin Periodontol. 2022; 49: 672 - 683. | |
dc.identifier.citedreference | Barootchi S, Tavelli L, Zucchelli G, Giannobile WV, Wang HL. Gingival phenotype modification therapies on natural teeth: a network meta-analysis. J Periodontol. 2020; 91 ( 11 ): 1386 - 1399. | |
dc.identifier.citedreference | Tavelli L, Barootchi S, Di Gianfilippo R, et al. Patient experience of autogenous soft tissue grafting has an implication for future treatment: a 10- to 15-year cross-sectional study. J Periodontol. 2021; 92 ( 5 ): 637 - 647. | |
dc.identifier.citedreference | Zucchelli G, Tavelli L, McGuire MK, et al. Autogenous soft tissue grafting for periodontal and peri-implant plastic surgical reconstruction. J Periodontol. 2020; 91 ( 1 ): 9 - 16. | |
dc.identifier.citedreference | Roccuzzo M, Gaudioso L, Bunino M, Dalmasso P. Surgical treatment of buccal soft tissue recessions around single implants: 1-year results from a prospective pilot study. Clin Oral Implants Res. 2014; 25 ( 6 ): 641 - 646. | |
dc.identifier.citedreference | Zucchelli G, Barootchi S, Tavelli L, Stefanini M, Rasperini G, Wang HL. Implant soft tissue dehiscence coverage esthetic score (IDES): a pilot within- and between-rater analysis of consistency in objective and subjective scores. Clin Oral Implants Res. 2021; 32 ( 3 ): 349 - 358. | |
dc.identifier.citedreference | Fu JH, Su CY, Wang HL. Esthetic soft tissue management for teeth and implants. J Evid Based Dent Pract. 2012; 12 ( 3 Suppl ): 129 - 142. | |
dc.identifier.citedreference | Sanz-Martin I, Regidor E, Navarro J, Sanz-Sanchez I, Sanz M, Ortiz-Vigon A. Factors associated with the presence of peri-implant buccal soft tissue dehiscences: a case-control study. J Periodontol. 2020; 91: 1003 - 1010. | |
dc.identifier.citedreference | Zucchelli G, Mounssif I. Periodontal plastic surgery. Periodontol. 2015; 68 ( 1 ): 333 - 368. | |
dc.identifier.citedreference | Anderson LE, Inglehart MR, El-Kholy K, Eber R, Wang HL. Implant associated soft tissue defects in the anterior maxilla: a randomized control trial comparing subepithelial connective tissue graft and acellular dermal matrix allograft. Implant Dent. 2014; 23 ( 4 ): 416 - 425. | |
dc.identifier.citedreference | Burkhardt R, Joss A, Lang NP. Soft tissue dehiscence coverage around endosseous implants: a prospective cohort study. Clin Oral Implants Res. 2008; 19 ( 5 ): 451 - 457. | |
dc.identifier.citedreference | Tavelli L, Barootchi S, Di Gianfilippo R, et al. Acellular dermal matrix and coronally advanced flap or tunnel technique in the treatment of multiple adjacent gingival recessions. A 12-year follow-up from a randomized clinical trial. J Clin Periodontol. 2019; 46 ( 9 ): 937 - 948. | |
dc.identifier.citedreference | Barootchi S, Tavelli L, Di Gianfilippo R, et al. Long term assessment of root coverage stability using connective tissue graft with or without an epithelial collar for gingival recession treatment. A 12-year follow-up from a randomized clinical trial. J Clin Periodontol. 2019; 46 ( 11 ): 1124 - 1133. | |
dc.identifier.citedreference | Cairo F. Periodontal plastic surgery of gingival recessions at single and multiple teeth. Periodontol. 2017; 75 ( 1 ): 296 - 316. | |
dc.identifier.citedreference | Zucchelli G, Mazzotti C, Mounssif I, Mele M, Stefanini M, Montebugnoli L. A novel surgical-prosthetic approach for soft tissue dehiscence coverage around single implant. Clin Oral Implants Res. 2013; 24 ( 9 ): 957 - 962. | |
dc.identifier.citedreference | Zucchelli G, Mazzotti C, Mounssif I, Marzadori M, Stefanini M. Esthetic treatment of peri-implant soft tissue defects: a case report of a modified surgical-prosthetic approach. Int J Periodontics Restorative Dent. 2013; 33 ( 3 ): 327 - 335. | |
dc.identifier.citedreference | Zucchelli G, Felice P, Mazzotti C, et al. 5-year outcomes after coverage of soft tissue dehiscence around single implants: a prospective cohort study. Eur J Oral Implantol. 2018; 11 ( 2 ): 215 - 224. | |
dc.identifier.citedreference | Rasperini G, Tavelli L, Barootchi S, et al. Interproximal attachment gain: the challenge of periodontal regeneration. J Periodontol. 2021; 92 ( 7 ): 931 - 946. | |
dc.identifier.citedreference | Stefanini M, Marzadori M, Tavelli L, Bellone P, Zucchelli G. Peri-implant papillae reconstruction at an esthetically failing implant. Int J Periodontics Restorative Dent. 2020; 40 ( 2 ): 213 - 222. | |
dc.identifier.citedreference | Mazzotti C, Stefanini M, Felice P, Bentivogli V, Mounssif I, Zucchelli G. Soft-tissue dehiscence coverage at peri-implant sites. Periodontol. 2018; 77 ( 1 ): 256 - 272. | |
dc.identifier.citedreference | Urban IA, Klokkevold PR, Takei HH. Abutment-supported papilla: a combined surgical and prosthetic approach to papilla reformation. Int J Periodontics Restorative Dent. 2016; 36 ( 5 ): 665 - 671. | |
dc.identifier.citedreference | Urban IA, Klokkevold PR, Takei HH. Papilla reformation at single-tooth implant sites adjacent to teeth with severely compromised periodontal support. Int J Periodontics Restorative Dent. 2017; 37 ( 1 ): 9 - 17. | |
dc.identifier.citedreference | Barootchi S, Tavelli L. Tunneled coronally advanced flap for the treatment of isolated gingival recessions with deficient papilla. Int J Esthet Dent. 2022; 17 ( 1 ): 14 - 26. | |
dc.identifier.citedreference | Zucchelli G, Mazzotti C, Bentivogli V, Mounssif I, Marzadori M, Monaco C. The connective tissue platform technique for soft tissue augmentation. Int J Periodontics Restorative Dent. 2012; 32 ( 6 ): 665 - 675. | |
dc.identifier.citedreference | Berglundh T, Armitage G, Araujo MG, et al. Peri-implant diseases and conditions: consensus report of workgroup 4 of the 2017 world workshop on the classification of periodontal and Peri-implant diseases and conditions. J Periodontol. 2018; 89 ( Suppl 1 ): S313 - S318. | |
dc.identifier.citedreference | Agha RA, Borrelli MR, Farwana R, et al. The PROCESS 2018 statement: updating consensus preferred reporting of CasE series in surgery (PROCESS) guidelines. Int J Surg. 2018; 60: 279 - 282. | |
dc.working.doi | NO | en |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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