Edition V07N03 | Year 2013 | Editorial Artigo de Revisão | Pages 41 to 51
Introduction: Implantodontics has reached a level in which osseointegration alone is no longer enough for treatment success. Today, in addition to recovering function, the implant must be associated with esthetic restorations that are similar to natural dentition, in harmony with surrounding teeth and with other peri-implant structures. The healing process after tooth loss is unfavorable to soft tissues that follow bone remodeling, compromising esthetics. The use of immediate implants and provisionalization enables a treatment approach that aims at maintaining peri-implant tissues, replacing treatment of atrophy sequelae after extraction.
Objective: The aim of this paper is to conduct a literature review in order to identify and discuss the determinants of morpho-esthetic-functional tissue peri-implant behavior in immediate implant placement with provisionalization.
Methods: PubMed database was used as a research resource considering the period between 2003 and 2012.
Results: Within the limits of this review, it was reasonable to conclude that the esthetic results in implant therapy are influenced by tissue biotype, especially in the peri-implant mucosa. The thin biotype revealed higher susceptibility to gingival recession. Conversely, tissue biotype revealed little influence over the height of the interproximal papilla. Filling the gap with autogenous bone graft contributed to the maintenance of the structures around the implant, but we can not affirm the existence of superiority between different graft materials. Conclusion: Subepithelial connective tissue graft seems to positively influence the level of marginal mucosa.
Silva DBNF, Neves LC, Querino E, Rosa JCM Barreto MA. Behavior of peri-implant tissues in immediate implant with provisionalization: A literature review. Dental Press Implantol. 2013 July-Sept;7(3):41-51.