Durante-Lacambra Rocío, Taheri Ricardo-Bahram, Leco-Berrocal María-Isabel, López-Carriches Carmen
Doctor of Dental Surgery. DDS. Collaborator. School of Dentistry. Universidad Complutense de Madrid. Spain.
Assistant Professor. Department of Dental Clinic Specialties. School of Dentistry. Universidad Complutense de Madrid. Spain.
J Clin Exp Dent. 2024 Jun 1;16(6):e772-e777. doi: 10.4317/jced.61668. eCollection 2024 Jun.
Achieving adequate aesthetics with implants in the anterior sector continues to be a challenge. One of the most studied and currently used techniques is the use of autologous connective tissue grafts to improve the peri-implant soft tissues in this area. Our objective is to analyze whether these techniques have a predictable impact on the tissues and aesthetics; and if it is worth performing them.
A bibliographic search was carried out, including different digital portals.
A total of 8 articles were analyzed. This procedure did not have an impact on the hard tissue but did have an impact on gingival recessions and soft tissue thickness. Regarding aesthetics, the results are controversial. It seems that they can slightly improve the PES (Pink Esthetic Score or Pink Index). Also, a negative impact on the texture of the soft tissue has been found.
It is necessary to individualize each case (especially depending on the gingival biotype) since taking a connective tissue graft from the palate entails discomfort for the patient, and this technique is not free of complications. Dental implants, aesthetics, connective graft.
在前牙区使用种植体实现理想的美学效果仍然是一项挑战。目前研究最多且使用的技术之一是利用自体结缔组织移植来改善该区域种植体周围的软组织。我们的目的是分析这些技术是否对组织和美学有可预测的影响；以及是否值得进行这些操作。
进行了文献检索，包括不同的数字平台。
共分析了8篇文章。该操作对硬组织没有影响，但对牙龈退缩和软组织厚度有影响。关于美学，结果存在争议。似乎它们可以略微改善PES（粉色美学评分或粉色指数）。此外，还发现对软组织质地有负面影响。
有必要对每个病例进行个体化处理（尤其是根据牙龈生物型），因为从腭部获取结缔组织移植会给患者带来不适，并且该技术并非没有并发症。牙种植体、美学、结缔组织移植。
