Agabiti Ivo, Apaza Alccayhuaman Karol Alí, Taniguchi Zenzaburo, Kuwano Kazuhisa, Botticelli Daniele
ARDEC Academy, 47923 Rimini, Italy.
Department of Oral Biology, University Clinic of Dentistry, Medical University of Vienna, 1090 Vienna, Austria.
Dent J (Basel). 2024 Jul 12;12(7):216. doi: 10.3390/dj12070216.
In our previous article, we observed and measured a spontaneous growth in the coronal direction of the keratinized tissues present around implants. This growth involved both free margins and interdental papillae, and we indicated our hypothesis on the probable cause of this still-unexplained phenomenon. The growth of oral soft tissues involves several other structures, such as the linea alba and tongue indentation. Our idea holds that growth of these tissues is generated by the negative intraoral pressure created in the oral phase of swallowing and the subsequent resting position, which through the resulting suction causes a shift of these soft structures in the gaps around the dental crowns. Other hypotheses have been suggested in the past to understand this phenomenon of soft tissue growth, which still lacks data supporting etiological evidence. The purpose of this article is to thoroughly analyze and verify our model by comparing the clinical observations with citations and examples from the literature, combined with notions of physiology, biology, and physics that help in clarifying these events. To better explain the mechanisms of oral soft tissue growth, photographs of clinical cases paradigmatic of the phenomenon are shown.
在我们之前的文章中,我们观察并测量了种植体周围角化组织在冠状方向上的自发生长。这种生长涉及游离边缘和牙间乳头,并且我们阐述了关于这一仍无法解释的现象可能原因的假设。口腔软组织的生长还涉及其他几个结构,如白线和舌压痕。我们的观点认为,这些组织的生长是由吞咽口腔期及随后静止位置产生的口腔内负压所引起的,该负压通过产生的吸力导致这些软组织结构在牙冠周围的间隙中发生移位。过去曾提出过其他假设来解释这种软组织生长现象,但仍缺乏支持病因学证据的数据。本文的目的是通过将临床观察结果与文献中的引用和实例进行比较,结合有助于阐明这些现象的生理学、生物学和物理学概念,来全面分析和验证我们的模型。为了更好地解释口腔软组织生长的机制,展示了该现象典型临床病例的照片。