| INVITED REVIEW |
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| Year : 2015 | Volume
: 7
| Issue : 3 | Page : 119-131 |
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Soft tissue and esthetic considerations around implants
Joann Pauline George1, Sangeeta Dhir2
1 Department of Periodontology, Krishnadevaraya Dental College, Bangalore, India
2 Department of Periodontology, Dr BR Ambedkar Institute of Dental Sciences, Patna, India
Correspondence Address:
Sangeeta Dhir
Smi'line Dental Suite TA-12, 3rd Floor Crown Plaza, Faridabad (Delhi-NCR) Haryana
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/2231-0754.172941
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The health of the peri – implant tissues play an important in the long term outcome of dental implants. The absence of keratinized gingiva (KG) may be a risk factor for developing recession or peri –implantitis. However there is still ambiguity in the need for keratinized gingiva around dental implants. The preservation and reconstruction of soft tissue around dental implants is an integral component of dental Implantology. There is no long-term evidence whether augmented soft tissues can be maintained over time and are able to influence the peri-implant bone levels. Among the various soft tissue augmentation techniques Apically positioned flap with vestibuloplasty , Free gingival grafts and Connective tissue grafts are documented as the most predictable methods to increase the width of KG. Autogenous grafts increase the soft tissue thickness and improve aesthetics compared to non-grafted sites. The aim of this review is to critically discuss the need for KG around implants and the techniques to preserve and augment KG. It is difficult to arrive at a definitive conclusion due to scarcity of well designed studies in literature. Reliable evidence is lacking to suggest the ideal soft tissue augmentation/preservation techniques. Long term randomized controlled clinical trials are needed to provide a clearer image. |
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