A carregar...
Publicação
Gengiva queratinizada no tecido peri-implantar: saúde e conforto
| Nome: | Descrição: | Tamanho: | Formato: | |
|---|---|---|---|---|
| PPG_38823 | 248.97 KB | Adobe PDF |
Autores
Orientador(es)
Resumo(s)
A presença de uma gengiva queratinizada ao redor de implantes parece ter um
papel biológico protetor que torna o tecido peri-implantar mais resistente a traumas
mecânicos e biológicos. A estabilidade dos tecidos peri-implantares depende de
inúmeros fatores como, posição tridimensional dos implantes, fenótipo gengival, tipo de
implante, componente protético entre outros, mas a presença de gengiva queratinizada
tem mostrado ser um fator importante para a estabilidade do tecido peri-implantar a
longo prazo.
Estudos recentes mostram que a falta de gengiva queratinizada ao redor de
implantes ocasiona um controle do biofilme menos eficiente, podendo originar
consequência(s) como, inflamação e recessão tecidual. Os produtos bacterianos vindos
do biofilme dental induzem a ativação de citoquinas pró-inflamatórias (TNF-α) que
agravam a resposta inflamatória ao redor de implantes.
Um dos principais motivos que dificultam o controle do biofilme em implantes
com pouca gengiva queratinizada é o desconforto ou sensação dolorosa relatada pelo
paciente durante os procedimentos de higiene oral e a dificuldade de se higienizar o
local. Portanto a presença de gengiva queratinizada ao redor de implantes contribui para
o conforto do paciente e, consequentemente promove saúde e estabilidade periimplantar.
The presence of a keratinized gingiva around implants appears to have a protective biological role that makes the peri-implant tissue more resistant to mechanical and biological trauma. The stability of peri-implant tissues depends on innumerable factors such as three-dimensional position of the implants, gingival phenotype, type of implant, prosthetic component among others, but the presence of keratinized gingiva has been shown to be an important factor for the stability of periimplant tissue long-term. Recent studies show that the lack of keratinized gingiva around implants causes less efficient biofilm control, which may result in inflammation and tissue recession. Bacterial products from the dental biofilm induce the activation of proinflammatory cytokines (TNF-α) that aggravate the inflammatory response around implants. One of the main reasons that hinder biofilm control in implants with little keratinized gingiva is the discomfort or painful sensation reported by the patient during oral hygiene procedures and the difficulty of hygienizing the site. Therefore, the presence of keratinized gingiva around implants contributes to patient comfort and, consequently, promotes peri-implant health and stability.
The presence of a keratinized gingiva around implants appears to have a protective biological role that makes the peri-implant tissue more resistant to mechanical and biological trauma. The stability of peri-implant tissues depends on innumerable factors such as three-dimensional position of the implants, gingival phenotype, type of implant, prosthetic component among others, but the presence of keratinized gingiva has been shown to be an important factor for the stability of periimplant tissue long-term. Recent studies show that the lack of keratinized gingiva around implants causes less efficient biofilm control, which may result in inflammation and tissue recession. Bacterial products from the dental biofilm induce the activation of proinflammatory cytokines (TNF-α) that aggravate the inflammatory response around implants. One of the main reasons that hinder biofilm control in implants with little keratinized gingiva is the discomfort or painful sensation reported by the patient during oral hygiene procedures and the difficulty of hygienizing the site. Therefore, the presence of keratinized gingiva around implants contributes to patient comfort and, consequently, promotes peri-implant health and stability.
Descrição
Palavras-chave
Gengiva queratinizada Tecido peri-implantar Saúde peri-implantar Implantes dentários Higiene oral Dor Desconforto na escovagem Keratinized gingiva Peri-implant tissue Peri-implant health Dental implants Oral hygiene Pain Discomfort in brushing