Journal of Prosthetic Dentistry
Volume 94, Issue 5 , Pages 440-444 , November 2005

Factors affecting soft tissue around dental implants: A review of the literature

  • Heidi L. Myshin, DMD

      Affiliations

    • Private practice, Harrisburg, Pa
    • Corresponding Author InformationReprint requests to: Dr Heidi L. Myshin, 2151 Linglestown Rd, Suite 160B, Harrisburg, PA 17110, Fax: 717-671-9021
    • ,
  • Jonathan P. Wiens, DDS, MSD

      Affiliations

    • Adjunct Clinical Professor, University of Detroit Mercy School of Dentistry, Detroit, Mich

References 

  1. Rapley JW, Mills MP, Wylam J. Soft tissue management during implant maintenance. Int J Perio Restorative Dent. 1992;12:373–381
  2. Simons AM, Darany DG, Giordano JR. The use of free gingival grafts in the treatment of peri-implant soft tissue complications: a clinical report. Implant Dent. 1993;2:27–30
  3. Simons AM, Baima RF. Free gingival grafting and vestibuloplasty with endosseous implant placement: clinical report. Implant Dent. 1994;3:235–238
  4. Krygier G, Glick PL, Versman KJ, Dahlin CJ, Cochran DL. To minimize complications, is it essential that implant abutments be surrounded by keratinized tissue?. Int J Oral Maxillofac Implants. 1997;12:127
  5. Clarizio LF. Peri-implant infections. Atlas Oral Maxillofac Surg Clin North Am. 2000;8:35–54
  6. Assenza B, Scarano A, Petrone G, Iezzi G, Thams U, San Roman F, et al. Crestal bone remodeling in loaded and unloaded implants and the microgap: a histologic study. Implant Dent. 2003;12:235–241
  7. Buser D, Mericske-Stern R, Dula K, Lang LP. Clinical experience with one-stage, non-submerged dental implants. Adv Dent Res. 1999;13:153–161
  8. Hermann JS, Cochran DL, Nummikoski PV, Buser D. Crestal bone changes around titanium implants. A radiographic evaluation of unloaded nonsubmerged and submerged implants in the canine mandible. J Periodontol. 1997;68:1117–1130
  9. Hermann JS, Buser D, Schenk RK, Cochran DL. Crestal bone changes around titanium implants. A histometric evaluation of unloaded non-submerged and submerged implants in the canine mandible. J Periodontol. 2000;71:1412–1424
  10. Hermann JS, Schoolfield JD, Nummikoski PV, Buser D, Schenk RK, Cochran DL. Crestal bone changes around titanium implants: a methodologic study comparing linear radiographic with histometric measurement. Int J Oral Maxillofac Implants. 2001;16:475–485
  11. Hermann JS, Buser D, Schenk RK, Schoolfield JD, Cochran DL. Biologic width around one- and two-piece titanium implants. Clin Oral Implants Res. 2001;12:559–571
  12. Hermann JS, Schoolfield JD, Schenk RK, Buser D, Cochran DL. Influence of the size of the microgap on crestal bone changes around titanium implants. A histometric evaluation of unloaded non-submerged implants in the canine mandible. J Periodontol. 2001;72:1372–1383
  13. King GN, Hermann JS, Schoolfield JD, Buser D, Cochran DL. Influence of the size of the microgap on crestal bone levels in non-submerged dental implants: a radiographic study in the canine mandible. J Periodontol. 2002;73:1111–1117
  14. Oh TJ, Yoon J, Misch CE, Wang HL. The causes of early implant bone loss: myth or science?. J Periodontol. 2002;73:322–333
  15. Piattelli A, Vrespa G, Petrone G, Iezzi G, Annibali S, Scarano A. Role of the microgap between implant and abutment: a retrospective histologic evaluation in monkeys. J Periodontol. 2003;74:346–352
  16. Todescan FF, Pustiglioni FE, Imbronito AV, Albrektsson T, Giuso M. Influence of the microgap in the peri-implant hard and soft tissues: a histomorphometric study in dogs. Int J Oral Maxillofac Implants. 2002;17:467–472
  17. Warren P, Chaffee N, Felton DA, Cooper LF. A retrospective radiographic analysis of bone loss following placement of TiO2 grit-blasted implants in the posterior maxilla and mandible. Int J Oral Maxillofac Implants. 2002;17:399–404
  18. Abrahamsson I, Berglundh T, Glantz PO, Lindhe J. The mucosal attachment at different abutments. An experimental study in dogs. J Clin Periodontal. 1998;25:721–727
  19. Abrahamsson I, Zitzmann NU, Berglundh T, Linder E, Wennerberg A, Lindhe J. The mucosal attachment to titanium implants with different surface characteristics: an experimental study in dogs. J Clin Periodontal. 2002;29:448–455
  20. Moon IS, Berglundh T, Abrahamsson I, Linder E, Lindhe J. The barrier between the keratinized mucosa and the dental implant. An experimental study in the dog. J Clin Periodontal. 1999;26:658–663
  21. Engquist B, Astrand P, Dahlgren S, Engquist E, Feldmann H, Grondahl K. Marginal bone reaction to oral implants: a prospective comparative study of Astra Tech and Branemark System implants. Clin Oral Implants Res. 2002;13:30–37
  22. Piattelli A, Podda G, Scarano A. Histological evaluation of bone reactions to aluminum oxide dental implants in man: a case report. Biomaterials. 1996;17:711–714
  23. Adell R, Lekholm U, Branemark PI, Lindhe J, Rockler B, Eriksson B, et al. Marginal tissue reactions at osseointegrated titanium fixtures. Swedish Dent J Suppl. 1985;28:175–181
  24. Adell R, Lekholm U, Rockler B, Branemark PI, Eriksson B, Sbordone L. Marginal tissue reactions at osseointegrated titanium fixtures (I). A 3-year longitudinal prospective study. Int J Oral Maxillofac Surg. 1986;15:39–52
  25. Lekholm U, Adell R, Lindhe J, Branemark PI, Eriksson B, Rockler B, et al. Marginal tissue reactions at osseointegrated titanium fixtures (II). A cross-sectional retrospective study. Int J Oral Maxillofac Surg. 1986;15:53–61
  26. Jemt T, Bergendal B, Arvidson K, Bergendal T, Karlsson LD, Linden B, et al. Implant-supported welded titanium frameworks in the edentulous maxilla: a 5-year prospective multicenter study. Int J Prostodont. 2002;15:544–548
  27. Tarnow D, Elian N, Fletcher P, Froum S, Magner A, Cho SC, et al. Vertical distance from the crest of bone to the height of the interproximal papilla between adjacent implants. J Periodontal. 2003;74:1785–1788
  28. Taher NM, Al Jabab AS. Galvanic corrosion behavior of implant suprastructure dental alloys. Dental Mater. 2003;19:54–59
  29. Artzi Z, Tal H, Moses O, Kozlovsky A. Mucosal considerations for osseointegrated implants. J Prosthet Dent. 1993;70:427–432
  30. Pontoriero R, Tonelli MP, Carnevale G, Mombelli A, Nyman SR, Lang NP. Experimentally induced peri-implant mucositis. A clinical study in humans. Clin Oral Implants Res. 1994;5:254–259
  31. Zitzmann NU, Berglundh T, Marinello CP, Lindhe J. Experimental peri-implant mucositis in man. J Clin Periodontal. 2001;28:517–523
  32. Gualini F, Berglundh T. Immunohistochemical characteristics of inflammatory lesions at implants. J Clin Periodontal. 2003;30:14–18
  33. Murata M, Tatsumi J, Kato Y, Suda S, Nunokawa Y, Kobayashi Y, et al. Osteocalcin, deoxypyridinoline and interleukin-1beta in peri-implant crevicular fluid of patients with peri-implantitis. Clin Oral Implants Res. 2002;13:637–643
  34. Roos-Jansaker AM, Renvert S, Egelberg J. Treatment of peri-implant infections: a literature review. J Clin Periodontal. 2003;30:467–485
  35. Porras R, Anderson GB, Caffesse R, Narendran S, Trejo PM. Clinical response to 2 different therapeutic regimens to treat peri-implant mucositis. J Periodontal. 2002;73:118–125
  36. Stumpel LJ, Haechler W, Bedrossian E. Customized abutments to shape and transfer peri-implant soft-tissue contours. J Calif Dent Assoc. 2000;28:301–309
  37. Gould T, Brunette D, Westbury L. The attachment mechanism of epithelial cells to titanium in vitro. J Periodontal Res. 1981;16:611–616
  38. Newman MG, Fleming TF. Periodontal considerations of implants and implant associated microbiota. J Dent Educ. 1988;52:737–744
  39. Berglundh T, Lindhe J, Ericsson J, Marinello CP, Liljenberg B, Thomsen P. The soft tissue barrier at implants and teeth. Clin Oral Implants Res. 1991;2:81–90
  40. Berglundh T, Lindhe J, Jonsson K, Ericsson I. The topography of the vascular systems in the periodontal and peri-implant tissues in the dog. J Clin Periodontol. 1994;21:189–193
  41. Moon IS, Berglundh T, Abrahamsson I, Linder E, Lindhe J. The barrier between the keratinized mucosa and the dental implant. An experimental study in the dog. J Clin Periodontol. 1999;26:658–663
  42. Buser D, Weber HP, Donath K, Fiorellini JP, Paquette DW, Williams RC. Soft tissue reactions to non-submerged unloaded titanium implants in beagle dogs. J Periodontol. 1992;63:225–235
  43. Abrahamsson I, Berglundh T, Lindhe J. Soft tissue response to plaque formation at different implant systems. A comparative study in the dog. Clin Oral Implants Res. 1998;9:73–79
  44. Thomsen P, Larsson C, Ericson LE, Sennerby L, Lausmaa J, Kasemo B. Structure of the interface between rabbit cortical bone and implants of gold, zirconium and titanium. J Mater Sci Mater Med. 1997;8:653–665
  45. Graves DT, Nooh N, Gillen T, Davey M, Patel S, Cottrell D, et al. IL-1 plays a critical role in oral, but not dermal, wound healing. J Immunol. 2001;167:5316–5320
  46. Certosimo FJ, Nicoll BK, Nelson RR, Wolfgang M. Wound healing and repair: a review of the art and science. Gen Dent. 1998;46:362–369
  47. Werner S, Grose R. Regulation of wound healing by growth factors and cytokines. Physiol Rev. 2003;83:835–870
  48. Squier CA, Kremenak CR. Quantification of the healing palatal mucoperiosteal wound in the beagle dog. Br J Exp Pathol. 1982;63:573–584
  49. Quirynen M, van Steenberghe D, Jacobs R, Schotte A, Darius P. The reliability of pocket probing around screw-type implants. Clin Oral Implants Res. 1991;2:186–192
  50. Etter TH, Hakanson I, Lang NP, Trejo PM, Caffesse RG. Healing after standardized clinical probing of the perlimplant soft tissue seal: a histomorphometric study in dogs. Clin Oral Implants Res. 2002;13:571–580
  51. Chaytor DV, Zarb GA, Schmitt AW, Lewis DW. The longitudinal effectiveness of osseointegrated implants. The Toronto study: bone level changes. Int J Periodontics Restorative Dent. 1991;11:112–125
  52. Apse P, Zarb GA, Schmitt A, Lewis DW. The longitudinal effectiveness of osseointegrated dental implants. The Toronto study: peri-implant mucosal response. Int J Periodontics and Restorative Dent. 1991;11:94–111
  53. Bengazi F, Wennstrom JL, Lekholm U. Recession of the soft tissue margin at oral implants. A 2-year longitudinal prospective study. Clin Oral Implants Res. 1996;7:303–310
  54. Oates TW, West J, Jones J, Kaiser D, Cochran DL. Long-term changes in soft tissue height on the facial surface of dental implants. Implant Dent. 2002;11:272–279
  55. Tarnow DP, Cho SC, Wallace SS. The effect of inter-implant distance on the height of inter-implant bone crest. J Periodontol. 2000;71:546–549
  56. Tarnow D, Elian N, Fletcher P, Froum S, Magner A, Cho SC, et al. Vertical distance from the crest of bone to the height of the interproximal papilla between adjacent implants. J Periodontol. 2003;74:1785–1788
  57. Small P, Tarnow D. Gingival recession around implants: a 1-year longitudinal prospective study. Int J Oral Maxillofac Implants. 2000;15:527–532
  58. Becker W, Becker BE. Flap designs for minimization of recession adjacent to maxillary anterior implant sites: a clinical study. Int J Oral Maxillofac Implants. 1996;11:46–54
  59. Abrahamsson I, Berglundh T, Sekino S, Lindhe J. Tissue reactions to abutment shift: an experimental study in dogs. Clin Implant Dent Relat Res. 2003;5:82–88
  60. Taylor T. Osteogenesis of the mandible associated with implant reconstruction: a patient report. Int J Oral Maxillofac Implants. 1989;4:227–231

 Presented at 86th Annual Scientific Session of the Academy of Prosthodontics, May 2004, Niagara Falls, Canada.

PII: S0022-3913(05)00462-2

doi: 10.1016/j.prosdent.2005.08.021

Journal of Prosthetic Dentistry
Volume 94, Issue 5 , Pages 440-444 , November 2005

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