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Soft tissue dehiscence coverage around endosseous implants: a prospective cohort study.

R Burkhardt¹, A Joss, N P Lang

¹School of Dental Medicine, University of Berne, Berne, Switzerland. rino.burkhardt@bluewin.ch

Clinical Oral Implants Research

|March 29, 2008

Summary

Surgically covering implant soft tissue dehiscences with a coronally advanced flap and connective tissue graft improved coverage significantly. However, complete closure was not achieved in any patient after six months.

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Area of Science:

Periodontology
Implant Dentistry
Oral Surgery

Background:

Soft tissue dehiscence at implant sites can compromise esthetics and long-term success.
Effective coverage techniques are crucial for implant site preservation and patient satisfaction.

Purpose of the Study:

To assess the healing and coverage outcomes of soft tissue dehiscence at implant sites.
To evaluate the efficacy of coronally advanced flaps combined with connective tissue grafts for dehiscence coverage.

Main Methods:

Ten patients with mucosal recession defects at implant sites were enrolled.
Surgical coverage was performed using a coronally advanced flap and a free connective tissue graft.
Healing and coverage were monitored at 1, 3, and 6 months post-surgery.

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Main Results:

Initial coronal overcompensation of the flap margin was up to 1.2 mm.
Coverage reduced to 75% at 1 month, 70% at 3 months, and 66% at 6 months.
A substantial clinical improvement was observed, but complete dehiscence coverage was not attained.

Conclusions:

Coronal mucosal displacement with connective tissue grafting offers significant improvement for implant soft tissue dehiscence.
Complete coverage of implant soft tissue dehiscences remains a challenge with this surgical approach.
Further research may be needed to optimize techniques for complete dehiscence closure.