Volume 9, Issue 2 (6-2024)                   J Res Dent Maxillofac Sci 2024, 9(2): 80-85 | Back to browse issues page

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Tabrizi R, Safavi M, MalekiGorji M, Torabzadeh M. Does Keratinized Mucosa Width Affect Marginal Bone Loss Around Dental Implants in Over Dentures? A Longitudinal Study. J Res Dent Maxillofac Sci 2024; 9 (2) :80-85
URL: http://jrdms.dentaliau.ac.ir/article-1-548-en.html
1- Oral and Maxillofacial Surgery Department, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2- Private Dentistry Practice, Tehran, Iran.
3- Oral and Maxillofacial Surgery Department, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran. , mohsen_malekigorji@yahoo.com
4- Department of Periodontics, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Abstract:   (139 Views)

Background and Aim: Keratinized mucosa width (KMW) has an essential role in peri-implant health. This study aimed to evaluate the impact of KMW on marginal bone loss (MBL) around overdenture-supported dental implants.
Materials and Methods: In this cohort study, completely edentulous patients received an overdenture with implants in the maxilla and mandible. Two implants were placed in the maxilla and mandible. Ball attachments were used. KMW was measured, and gingival biotype was determined. MBL was evaluated on digital parallel radiographs taken at 12 and 24 months after loading. KMW was the predictive factor, and MBL was the outcome of the study. Data were analyzed using SPSS 21 via Pearson’s correlation test, independent t-test, and Chi-square test (alpha=0.05). 
Results: Eighty implants in 20 patients were studied. The mean KMW was 2.05±0.88 mm. The mean MBL was 1.32±0.46 mm at 12 months after loading, and 1.71±0.49 mm at 24 months after loading. Analysis of the data demonstrated a correlation between MBL at 12 and 24 months after loading with KMW and dental implant diameter (P<0.001).
Conclusion: It appears that narrow KMW may be associated with an increase in MBL in two-implant-supported overdentures. Gingival biotype may play a role in the detrimental effect of narrow keratinized mucosa on MBL.

 

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Type of Study: Original article | Subject: Dental implant

References
1. Galindo-Moreno P, Catena A, Pérez-Sayáns M, Fernández-Barbero JE, O'Valle F, Padial-Molina M. Early marginal bone loss around dental implants to define success in implant dentistry: A retrospective study. Clin Implant Dent Relat Res. 2022 Oct;24(5):630-42. [DOI:10.1111/cid.13122] [PMID] []
2. Monje A, Blasi G. Significance of keratinized mucosa/gingiva on peri-implant and adjacent periodontal conditions in erratic maintenance compliers. J Periodontol. 2019 May;90(5):445-53. [DOI:10.1002/JPER.18-0471] [PMID]
3. Grischke J, Karch A, Wenzlaff A, Foitzik MM, Stiesch M, Eberhard J. Keratinized mucosa width is associated with severity of peri-implant mucositis. A cross-sectional study. Clin Oral Implants Res. 2019 May;30(5):457-65. [DOI:10.1111/clr.13432] [PMID]
4. Stefanini M, Pispero A, Del Fabbro M, Gobbato L, Ghensi P, Lodi G, et al. The Effect of Keratinized Mucosa on Peri-Implant Health and Patient-Reported Outcome Measures: A Systematic Review and Meta-Analysis. Applied Sciences. 2023; 13(15):8631 [DOI:10.3390/app13158631]
5. Kutkut A, Bertoli E, Frazer R, Pinto-Sinai G, Fuentealba Hidalgo R, Studts J. A systematic review of studies comparing conventional complete denture and implant retained overdenture. J Prosthodont Res. 2018 Jan;62(1):1-9. [DOI:10.1016/j.jpor.2017.06.004] [PMID]
6. Wennström JL, Derks J. Is there a need for keratinized mucosa around implants to maintain health and tissue stability? Clin Oral Implants Res. 2012 Oct;23 Suppl 6:136-46. [DOI:10.1111/j.1600-0501.2012.02540.x] [PMID]
7. Saravi BE, Putz M, Patzelt S, Alkalak A, Uelkuemen S, Boeker M. Marginal bone loss around oral implants supporting fixed versus removable prostheses: a systematic review. Int J Implant Dent. 2020 Jun 3;6(1):20. [DOI:10.1186/s40729-020-00217-7] [PMID] []
8. Afrashtehfar KI, Oh KC, Jurado CA, Lee H. Lack of keratinized mucosa increases peri-implantitis risk. Evid Based Dent. 2023 Sep;24(3):118-20. [DOI:10.1038/s41432-023-00913-4] [PMID] []
9. Stefanini M, Barootchi S, Sangiorgi M, Pispero A, Grusovin MG, Mancini L, Zucchelli G, Tavelli L. Do soft tissue augmentation techniques provide stable and favorable peri-implant conditions in the medium and long term? A systematic review. Clin Oral Implants Res. 2023 Sep;34 Suppl 26:28-42. [DOI:10.1111/clr.14150] [PMID]
10. Moraschini V, Luz D, Velloso G, Barboza EDP. Quality assessment of systematic reviews of the significance of keratinized mucosa on implant health. Int J Oral Maxillofac Surg. 2017 Jun;46(6):774-81. [DOI:10.1016/j.ijom.2017.02.1274] [PMID]
11. Cehreli MC, Karasoy D, Kökat AM, Akça K, Eckert S. A systematic review of marginal bone loss around implants retaining or supporting overdentures. Int J Oral Maxillofac Implants. 2010 Mar-Apr;25(2):266-77.
12. Fischer KR, Künzlberger A, Donos N, Fickl S, Friedmann A. Gingival biotype revisited-novel classification and assessment tool. Clin Oral Investig. 2018 Jan;22(1):443-8. [DOI:10.1007/s00784-017-2131-1] [PMID]
13. Lombardi T, Berton F, Salgarello S, Barbalonga E, Rapani A, Piovesana F, Gregorio C, Barbati G, Di Lenarda R, Stacchi C. Factors Influencing Early Marginal Bone Loss around Dental Implants Positioned Subcrestally: A Multicenter Prospective Clinical Study. J Clin Med. 2019 Aug 4;8(8):1168. [DOI:10.3390/jcm8081168] [PMID] []
14. Kim BS, Kim YK, Yun PY, Yi YJ, Lee HJ, Kim SG, Son JS. Evaluation of peri-implant tissue response according to the presence of keratinized mucosa. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009 Mar;107(3):e24-8. [DOI:10.1016/j.tripleo.2008.12.010] [PMID]
15. Ravidà A, Saleh I, Siqueira R, Garaicoa-Pazmiño C, Saleh MHA, Monje A, Wang HL. Influence of keratinized mucosa on the surgical therapeutical outcomes of peri-implantitis. J Clin Periodontol. 2020 Apr;47(4):529-39. [DOI:10.1111/jcpe.13250] [PMID]
16. Boynueğri D, Nemli SK, Kasko YA. Significance of keratinized mucosa around dental implants: a prospective comparative study. Clin Oral Implants Res. 2013 Aug;24(8):928-33. [DOI:10.1111/j.1600-0501.2012.02475.x] [PMID]
17. Bouri A Jr, Bissada N, Al-Zahrani MS, Faddoul F, Nouneh I. Width of keratinized gingiva and the health status of the supporting tissues around dental implants. Int J Oral Maxillofac Implants. 2008 Mar-Apr;23(2):323-6.
18. Güven SŞ, Cabbar F, Güler N. Local and systemic factors associated with marginal bone loss around dental implants: a retrospective clinical study. Quintessence Int. 2020;51(2):128-41.
19. Suárez-López Del Amo F, Lin GH, Monje A, Galindo-Moreno P, Wang HL. Influence of Soft Tissue Thickness on Peri-Implant Marginal Bone Loss: A Systematic Review and Meta-Analysis. J Periodontol. 2016 Jun;87(6):690-9. [DOI:10.1902/jop.2016.150571] [PMID]
20. Naser mostofy S, Jalalian E, Valaie N, Mohtashamrad Z, Haeri A, Bitaraf T. Study of the Effect of GapSeal on Microgap and Microleakage in Internal Hex Connection After Cyclic Loading. J Res Dent Maxillofac Sci 2019; 4 (3) :36-42. [DOI:10.29252/jrdms.4.3.36]
21. Adibrad M, Shahabuei M, Sahabi M. Significance of the width of keratinized mucosa on the health status of the supporting tissue around implants supporting overdentures. J Oral Implantol. 2009;35(5):232-7. [DOI:10.1563/AAID-JOI-D-09-00035.1] [PMID]
22. Telles LH, Portella FF, Rivaldo EG. Longevity and marginal bone loss of narrow-diameter implants supporting single crowns: A systematic review. PLoS One. 2019 Nov 11;14(11):e0225046. [DOI:10.1371/journal.pone.0225046] [PMID] []
23. Ma M, Qi M, Zhang D, Liu H. The Clinical Performance of Narrow Diameter Implants Versus Regular Diameter Implants: A Meta-Analysis. J Oral Implantol. 2019 Dec;45(6):503-8. [DOI:10.1563/aaid-joi-D-19-00025] [PMID]
24. Longoni S, Tinto M, Pacifico C, Sartori M, Andreano A. Effect of Peri-implant Keratinized Tissue Width on Tissue Health and Stability: Systematic Review and Meta-analysis. Int J Oral Maxillofac Implants. 2019 Nov/Dec;34(6):1307-17. [DOI:10.11607/jomi.7622] [PMID]
25. Perussolo J, Souza AB, Matarazzo F, Oliveira RP, Araújo MG. Influence of the keratinized mucosa on the stability of peri-implant tissues and brushing discomfort: A 4-year follow-up study. Clin Oral Implants Res. 2018 Dec;29(12):1177-85. [DOI:10.1111/clr.13381] [PMID]

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