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Deiscência de tecido mole peri-implantar: revisão narrativa da literatura
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Abstract(s)
Objectivo : Revisão da literatura que aborda as deiscências de tecido mole peri-implantar, nomeadamente a sua prevalência, fatores de risco e tratamento. Comparar os resultados obtidos na utilização de técnicas cirúrgicas de recobrimento das deiscências de tecido mole peri-implantar.
As deiscências de tecido mole peri-implantar são frequentes em implantes localizados em setores estéticos e o seu aparecimento pode estar relacionado, entre outros, com o biotipo peri-implantar, a espessura da cortical vestibular e a posição do implante.
Dentro das limitações da literatura e da presente revisão, concluimos que o procedimento cirúrgico mais bem documentado na literatura é o retalho de avanço coronal combinado com enxerto de tecido conjuntivo (RAC+ETC).
Os resultados preliminares positivos encorajam uma investigação mais aprofundada da temática, com a condução de estudos clínicos aleatorizados com maior número de pacientes.
Objective: Literature review addressing peri-implant soft tissue dehiscences, their prevalence, risk factors and treatment. To compare the results obtained using surgical techniques to cover peri-implant soft-tissue dehiscences. Peri-implant soft tissue dehiscences are frequent in implants located in esthetic sectors, and their appearance may be related, among others, to peri-implant biotype, buccal cortical thickness, and implant position. Within the limitations of the literature and the present review, we conclude that the best documented surgical procedure in the literature is the coronal advancement flap combined with connective tissue graft (CAF+CTG). The preliminary positive results encourage further investigation of the topic by conducting randomized clinical trials with larger numbers of patients.
Objective: Literature review addressing peri-implant soft tissue dehiscences, their prevalence, risk factors and treatment. To compare the results obtained using surgical techniques to cover peri-implant soft-tissue dehiscences. Peri-implant soft tissue dehiscences are frequent in implants located in esthetic sectors, and their appearance may be related, among others, to peri-implant biotype, buccal cortical thickness, and implant position. Within the limitations of the literature and the present review, we conclude that the best documented surgical procedure in the literature is the coronal advancement flap combined with connective tissue graft (CAF+CTG). The preliminary positive results encourage further investigation of the topic by conducting randomized clinical trials with larger numbers of patients.
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Keywords
Deiscência de tecido mole Tecido peri-implantar Cirurgia plástica Estética peri-implantar Soft tissue dehiscence Peri-implant tissue Plastic surgery Peri-implant esthetic