Impact of gingival tissue type around Dental implants on implant health and longevity: A Case report on implants around mandibular overdenture

Main Article Content

Ahmad Soolari, DMD. MS Amin Soolari, DDS, FAGD Nkem Obiechina, DMD, MS

Abstract

The type of gingival tissue around dental implants is extremely important for the health and longevity implants in the mouth. Gingival tissue around dental implants can be comprised of keratinized or non-keratinized mucosal tissue. The type of soft tissue present around implants can influence the health, plaque accumulation and inflammation around dental implants. A number of studies have found that there is a need to have a minimum amount of keratinized mucosa to maintain peri-implant health especially for patients with poor oral hygiene that are at greater risk of gingival inflammation others have not found the same correlation for patients with good oral hygiene practices. More recently, a number of studies have found less potential for inflammation in sites with keratinized mucosa compared to non-keratinized mucosal tissue. The goal therefore is that when non keratinized mucosal tissue is present to utilize a soft tissue grafts to be able to regain keratinized mucosa around the implant site. This is particularly important for implant supported Overdentures where gingival augmentation can be able to improve oral hygiene, and help with resistance to trauma and abrasion from the removable prosthesis. This Case report is on utilization of a free gingival graft to increase keratinized mucosa, combined with a vestibuloplasty to increase vestibular height around implants supporting a mandibular overdenture prosthesis with the goal of improving the health and longevity of the implant supported overdenture.

Article Details

How to Cite
SOOLARI, Ahmad; SOOLARI, Amin; OBIECHINA, Nkem. Impact of gingival tissue type around Dental implants on implant health and longevity: A Case report on implants around mandibular overdenture. Medical Research Archives, [S.l.], v. 12, n. 8, aug. 2024. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/5651>. Date accessed: 04 dec. 2024. doi: https://doi.org/10.18103/mra.v12i8.5651.
Section
Case Reports

References

1. Sun TC, Chang TK. Soft tissue management around dental implants in esthetic zone- The current concepts and normal techniques. Journal of Dental Sciences 2024. ISSN 1991-7902.
https://doi.org/10.1016;jdjds.2024.03.003.
2. Araujo MG and Lindhe J. Periimplant health. Journal of Periodontology 2018(June);45(Suppl.1):S230-236.
3. Mancini L, Straus FJ, Lun HG, Lorenzo T, Suy RE, Naenn N, and Thoma DS. Impact of keratinized mucosa on implant health parameters: A 10 year retrospective study. Clinical Implants and Restorative Dent Rel Res. 2024;1-10.
4. Rucozzo M, Grasso G, Dalmasso P. Keratinized mucosa around implants in partially edentulous posterior mandible: 10 year results of a prospective study. Clinical Ora Implant Research 2019;30(5): 491-496.
5. Souza AB, Tormena M, Matarazzo F and Araujo MG. The influence of Periimplant keratinized mucosa on brushing discomfort and Periimplant tissue health. Clinical Oral Implant Research 2016 June; 27(6):650-655.
6. Perussola J, Souza AB, Montarazzo F, Oliveira RP, Araujo M. Influence of keratinized mucosa on stabilityof periimplant tissues and brushing discomfort-A four year follow up study. Clinical Oral Implant Research 2018 Dec;29(12): 1177-1185.
7. Elkhaweldi A, Soler CR, Cayyarga R, Suzuki T, Kaufman Z. Various techniques to increase keratinized tissue for Implant supported Overdentures. Int Journal of Dentistry 2015; 2015. Article ID: 104903. 7 pages.
8. Kassab MM. Soft tissue grafting to improve Implant esthetics, clinical, cosmetic and investigational Dentistry 2010; 2:101-107.
9. Saltz AE. Impact of Keratinized mucosa in Dental Implant Treatment. Decisions in Dentistry 2020; 6(8):40-44.
10. Cilli JE, and Finn R. Split thickness graft, vestibuloplasty and mandibular endosseous implant supported overdenture. J of Oral Maxillofacial Surgery 2009;67:381-386
11. Thoma DS, Naenni N, Figuero E, Hammerie C HF, Schwar F, Jung RE, Sanz-Sanchez I, Effects of soft tissue augmentation procedures on peri-implant health or disease: A systematic review and meta-analysis. Clin Oral Implants Res. 2018 Mar:29 Suppl 15:32-49
12. Smeets Ralf, Henningsen A, Jung Ole, Heiland M, Hammacher C, Stein J M. Definition, etiology, prevention and treatment of peri-implantitis--a review, 2014 Sep 3:10:34
13. Roccuzzo M, Grasso G, Delmasso P. Keratinized mucosa around implants in partially edentulous posterior mandible: 10-year results of a prospective comparative study. Clin Oral Implants Res. 2016 Apr;27(4):491-6