种植体周围黏膜厚度对美观效果和软组织增量手术效果的影响：SEPA/DGI/OF 研讨会第 2 组的共识报告。
Effect of peri-implant mucosal thickness on esthetic outcomes and the efficacy of soft tissue augmentation procedures: Consensus report of group 2 of the SEPA/DGI/OF workshop.
机构信息
Clinic of Reconstructive Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland.
Department of Orthodontics, Universitätsklinikum Düsseldorf, Düsseldorf, Germany.
出版信息
Clin Oral Implants Res. 2022 Jun;33 Suppl 23(Suppl 23):100-108. doi: 10.1111/clr.13955.
OBJECTIVES
The aim of this study was to comprehensively assess the literature in terms of the effect of peri-implant mucosal thickness on esthetic outcomes and the efficacy of soft tissue augmentation procedures to increase the mucosal thickness with autogenous grafts or soft tissue substitutes.
MATERIAL AND METHODS
Two systematic reviews (SR) were performed prior to the consensus meeting to assess the following questions. Review 1, focused question: In systemically healthy patients with an implant-supported fixed prosthesis, what is the influence of thin as compared to thick peri-implant mucosa on esthetic outcomes? Review 2, focused question 1: In systemically healthy humans with at least one dental implant (immediate or staged implant), what is the efficacy of connective tissue graft (CTG), as compared to absence of a soft tissue grafting procedure, in terms of gain in peri-implant soft tissue thickness (STT) reported by randomized controlled clinical trials (RCTs) or controlled clinical trials (CCTs)? Review 2, focused question 2: In systemically healthy humans with at least one dental implant (immediate or staged implant), what is the efficacy of CTG, as compared to soft tissue substitutes, in terms of gain in peri-implant STT reported by RCTs or CCTs? The outcomes of the two SRs, the consensus statements, the clinical implications, and the research recommendations were discussed and subsequently approved at the consensus meeting during the group and plenary sessions.
CONCLUSIONS
There was a tendency of superior esthetic outcomes in the presence of a thick mucosa. The connective tissue graft remains the standard of care in terms of increasing mucosa thickness.
目的
本研究旨在全面评估文献中关于种植体周围黏膜厚度对美观效果的影响，以及使用自体移植物或软组织替代物增加黏膜厚度的软组织增量程序的疗效。
材料与方法
在共识会议之前进行了两项系统评价（SR），以评估以下问题。综述 1，聚焦问题：在接受种植体支持的固定修复体的系统性健康患者中，与厚的种植体周围黏膜相比，薄的种植体周围黏膜对美观效果有什么影响？综述 2，聚焦问题 1：在至少有一颗种植牙（即刻或分期种植）的系统性健康人群中，与不进行软组织移植手术相比，结缔组织移植（CTG）在 RCT 或 CCT 报道的种植体周围软组织厚度（STT）增加方面的疗效如何？综述 2，聚焦问题 2：在至少有一颗种植牙（即刻或分期种植）的系统性健康人群中，与软组织替代物相比，CTG 在 RCT 或 CCT 报道的种植体周围 STT 增加方面的疗效如何？两项 SR 的结果、共识声明、临床意义和研究建议在小组和全体会议上进行了讨论，并随后在共识会议上获得批准。
结论
存在厚黏膜时美观效果更好。在增加黏膜厚度方面，结缔组织移植物仍然是标准的护理方法。
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