scholarly journals Hard- and soft-tissue augmentation around dental implant using ridge split and connective tissue graft for esthetic rehabilitation of atrophic anterior maxilla

2018 ◽  
Vol 22 (6) ◽  
pp. 555
Author(s):  
Mahira Kirmani ◽  
Afaf Zia ◽  
Abdul Ahad ◽  
Afshan Bey
Keyword(s):  
Soft Tissue ◽  
Connective Tissue ◽  
Dental Implant ◽  
Soft Tissue Augmentation ◽  
Anterior Maxilla ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Tissue Augmentation ◽  
Ridge Split

scholarly journals Porcine Acellular Dermal Matrix: An Alternative to Connective Tissue Graft—A Narrative Review

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Shashi Dadlani
Keyword(s):  
Soft Tissue ◽  
Connective Tissue ◽  
Acellular Dermal Matrix ◽  
Soft Tissue Augmentation ◽  
Dermal Matrix ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Tissue Augmentation ◽  
Porcine Acellular Dermal Matrix ◽  
Acellular Dermal

Porcine acellular dermal matrix has recently been introduced in dentistry as an alternative to the gold standard connective tissue graft especially for the use in gingival recession treatments and soft tissue augmentation in implant surgery. Connective tissue grafts are inconvenient and require a second surgical site leading to greater morbidity, longer surgical procedures, and a more painful postoperative phase for the patient. Other options such as allografts have ethical concerns and are less available in Europe. Thus, dental professionals have sought other techniques and materials. Porcine acellular dermal matrix results in periodontal recession treatment with a gain in recession coverage as well as increased keratinized tissue and soft tissue augmentation. This leads to more keratinized mucosa and greater tissue thickness. Many studies have been published using collagen matrices, but a few strictly use porcine acellular dermal matrix, which have been studied in prospective randomized clinical trials with a large number of patients and longer follow-up periods (more than 5 years). Nevertheless, more data are needed to confirm that the porcine acellular dermal matrix is a suitable alternative although its favourable results to date suggest a positive future.

scholarly journals Collagen Matrix vs. Autogenous Connective Tissue Graft for Soft Tissue Augmentation: A Systematic Review and Meta-Analysis

Polymers ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 1810
Author(s):  
Cristina Vallecillo ◽  
Manuel Toledano-Osorio ◽  
Marta Vallecillo-Rivas ◽  
Manuel Toledano ◽  
Alberto Rodriguez-Archilla ◽  
...  
Keyword(s):  
Systematic Review ◽  
Clinical Trials ◽  
Soft Tissue ◽  
Connective Tissue ◽  
Meta Analysis ◽  
Soft Tissue Augmentation ◽  
Total Width ◽  
Collagen Matrices ◽  
Connective Tissue Graft ◽  
Tissue Graft

Soft tissues have been shown to be critical for the maintenance of both teeth and implants. Currently, regenerative soft tissue techniques propose the use of collagen matrices, which can avoid the drawbacks derived from the obtainment of autogenous tissue graft. A systematic review and meta-analysis were conducted to ascertain the efficacy of collagen matrices (CM) compared to autogenous connective tissue graft (CTG) to improve soft tissue dimensions. An electronic and manual literature searches were performed to identify randomized clinical trials (RCT) or controlled clinical trials (CCT) that compared CTG and CM. Pooled data of width of keratinized tissue (KT) and mucosal thickness (MT) were collected and weighted means were calculated. Heterogeneity was determined using Higgins (I2). If I2 > 50% a random-effects model was applied. Nineteen studies were included based on the eligibility criteria. When using CTG a higher MT gain (0.32 mm, ranging from 0.49 to 0.16 mm) was obtained than when employing CM. Similar result was obtained for the width of KT gain, that was 0.46 mm higher (ranging from 0.89 to 0.02 mm) when employing CTG. However, it can be stated that, although autogenous CTG achieves higher values, CM are an effective alternative in terms of total width of KT and MT gain.

scholarly journals Optimizing Anterior Implant Esthetics With a Vascularized Interpositional Periosteal Connective Tissue Graft for Ridge Augmentation: A Case Report

2018 ◽  
Vol 44 (4) ◽  
pp. 267-276
Author(s):  
Cimara Fortes Ferreira ◽  
Edival de Magalhães Barreto ◽  
Barbara Zini
Keyword(s):  
Connective Tissue ◽  
Soft Tissues ◽  
Treatment Plan ◽  
Class Iii ◽  
Anterior Maxilla ◽  
Ridge Augmentation ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Close Cooperation

Achieving excellence in anterior rehabilitations requires close cooperation between the periodontist and the prosthodontist. Many techniques can be used to restore the lost alveolar hard and soft tissues. The more severe the peri-implant defect, the higher the challenge and lower the predictability of the procedure. The present case consists of Seibert Class III with malaligned implants in the esthetic zone resolved with a cost-modified treatment plan to reestablish esthetics in the anterior maxilla using a rotated palatal flap. The vascularized interpositional periosteal connective tissue graft was effective in augmenting the soft tissue in the esthetic zone and remained stable over a 2-year period. Additional long-term clinical studies are necessary to support these results.

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