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Immediate Implant Placement with Soft Tissue Augmentation Using Acellular Dermal Matrix Versus Connective Tissue
Andrea Galve-Huertas1, Louis Decadt1, Susana García-González1
1Department of Oral and Maxillofacial Surgery, Universitat Internacional de Catalunya, 08195 Sant Cugat del Vallès, Spain.
Materials (Basel, Switzerland)
|November 9, 2024
Summary
Connective tissue grafting (CTG) and acellular dermal matrix (ADM) show similar effectiveness for soft tissue thickness and width in immediate implant placement. Both materials are viable options for managing soft tissues around dental implants.
Area of Science:
- Dental Implantology
- Periodontology
- Regenerative Medicine
Background:
- Soft tissue management is crucial for successful immediate implant placement (IIP).
- Connective tissue grafting (CTG) and acellular dermal matrix (ADM) are common materials used for soft tissue augmentation.
- Comparing their efficacy in IIP is essential for clinical decision-making.
Purpose of the Study:
- To systematically review and compare the efficacy of CTG versus ADM for soft tissue management in IIP.
- To evaluate changes in soft tissue thickness (STT) and keratinized tissue width (KTW) between the two grafting materials.
Main Methods:
- Systematic review and meta-analysis adhering to PRISMA guidelines.
- Inclusion of randomized clinical trials and cohort studies on soft tissue grafting with IIP.
- Extraction and statistical analysis of STT and KTW measurements from baseline to 6-month follow-up.
Main Results:
- No significant difference in STT gain between CTG and ADM at 12 months (p > 0.05).
- No significant difference observed in KTW changes between CTG and ADM.
- High heterogeneity noted among studies, influenced by individual study variations.
Conclusions:
- Both CTG and ADM are effective and viable options for soft tissue management in IIP.
- No significant difference in efficacy regarding STT and KTW outcomes was found.
- Further research is needed to reduce heterogeneity and assess long-term effects.
