Research Progress on Preservation and Reconstruction of Gingival Papilla around Implants

doi:10.13701/j.cnki.kqyxyj.2019.08.005

Abstract

Abstract: With the development of dental implant technology, the requirement of implant restoration is not limited to the complete and functional restoration of dentition. Good crown shape, color, soft tissue, and other aesthetic standards have become one of the standards to evaluate the implant restoration. The loss of gingival papilla height affects the aesthetic effect and reduces the patient's satisfaction with implants. At present, techniques for preservation and reconstruction of gingival papilla height have been continuously developed to solve the problem of "black triangle" caused by retraction of gingival papilla. However, the prognosis of soft tissue management is unpredictable and needs to be confirmed by large sample's tracking. In this paper, the factors influencing the height of the gingival papilla around implants are analyzed, and the methods to preserve and reconstruct the height of the gingival papilla during the whole process from tooth extraction to final implant restoration are reviewed.

Key words: dental implant, esthetic, papilla

WANG Ning, YAN Xing. Research Progress on Preservation and Reconstruction of Gingival Papilla around Implants[J]. Journal of Oral Science Research, 2019, 35(8): 741-743.

References

[1] Perez F, Martins Segalla JC, Ferreira PM, et al. Clinical and radiographic evaluation of factors influencing the presence or absence of interproximal gingival papillae [J]. Int J Periodontics Restorative Dent, 2012, 32(2): e68-e74.
[2] Kim Y, Oh TJ, Misch CE, et al. Occlusal considerations in implant therapy: clinical guidelines with biomechanical rationale [J]. Clin Oral Implants Res, 2005, 16(1): 26-35.
[3] Jemt T. Regeneration of gingival papillae after single-implant treatment [J]. Int J Periodontics Restorative Dent, 1997, 17(4): 326-333.
[4] Kois JC, Kan JY. Predictable peri-implant gingival aesthetics: surgical and prosthodontic rationales [J]. Pract Proced Aesthet Dent, 2001, 13(9): 691-698.
[5] De Rouck T, Eghbali R, Collys K, et al. The gingival biotype revisited: transparency of the periodontal probe through the gingival margin as a method to discriminate thin from thick gingiva [J].J Clin Periodontol, 2009, 36(5):428-433.
[6] Si MS, Zhuang LF, Huang X, et al. Papillae alterations around single-implant restorations in the anterior maxillae: thick versus thin mucosa [J]. Int J Oral Sci, 2012, 4(2): 94-100.
[7] Kois JC. Predictable single-tooth peri-implant esthetics: five diagnostic keys [J]. Compend Contin Educ Dent, 2001, 22(3):199-206.
[8] Choquet V, Hermans M, Adriaenssens P, et al. Clinical and radiographic evaluation of the papilla level adjacent to single-tooth dental implants. A retrospective study in the maxillary anterior region [J]. J Periodontol, 2001, 72(10): 1364-1371.
[9] Jeong JS, Lee SY, Chang M. Alterations of papilla dimensions after orthodontic closure of the maxillary midline diastema: a retrospective longitudinal study [J]. J Periodontal Implant Sci, 2016, 46(3): 197-206.
[10] Covani U, Ricci M, Bozzolo G, et al. Analysis of the pattern of the alveolar ridge remodelling following single tooth extraction [J]. Clin Oral Implants Res, 2011, 22(8): 820-825.
[11] 王颖,徐洋.拔牙位点保存技术在口腔种植中的应用效果评价[J].全科口腔医学电子杂志,2018,5(10):67.
[12] 刘颖,刘克礼,高晓,等.上前牙位点保存的临床研究[J].口腔医学研究, 2016, 32(9): 978-982.
[13] Gomez-Roman G. Influence of flap design on peri-implant interproximal crestal bone loss around single-tooth implants [J]. Int J Oral Maxillofac Implants, 2001, 16(1): 61-67.
[14] Lee EK, Herr Y, Kwon YH, et al. I-shaped incisions for papilla reconstruction in second stage implant surgery [J]. J Periodontal Implant Sci, 2010, 40(3): 139-143.
[15] Misch CE, Al-Shammari KF, Wang HL. Creation of interimplant papillae through a split-finger technique [J]. Implant Dent, 2004, 13(1):20-27.
[16] Nemcovsky CE, Moses O, Artzi Z. Interproximal papillae reconstruction in maxillary implants [J]. J Periodontol, 2000, 71(2): 308-314.
[17] 李健慧,邸萍,胡秀莲,等.应用无创瓷贴面技术改善种植区域美学效果的临床研究[J].北京大学学报(医学版),2010,42(1):103-107.
[18] Kaushik A, Pk P, Jhamb K, et al. Clinical evaluation of papilla reconstruction using subepithelial connective tissue graft [J]. J Clin Diagn Res, 2014, 8(9): ZC77-ZC81.
[19] 孙黎波,黄海霞,兰玉燕,等.硬腭带蒂结缔组织移植在上颌前牙即刻种植的临床应用[J].口腔医学研究, 2018, 34(6):671-674.
[20] Carranza N, Zogbi C. Reconstruction of the interdental papilla with an underlying subepithelial connective tissue graft: technical considerations and case reports [J]. Int J Periodontics Restorative Dent, 2011, 31(5): e45-e50.
[21] Gupta S, Deo V, Williams C. Interproximal papillae reconstruction around implant using subepithelial connective tissue graft in maxillary anterior region: a case series [J]. J Oral Maxillofac Res, 2012, 3(2):e1.