Non-interventional 1-year follow-up study of peri-implant soft tissues following previous soft tissue augmentation and crown insertion in single-tooth gaps

• Main Authors: Hämmerle, C.H.F (Author), Huber, S. (Author), Jung, R.E (Author), Thoma, D.S (Author), Zeltner, M. (Author)
• Format: Article
• Language: English
• Published: Blackwell Munksgaard 2018
• Subjects: 1-year follow-up; adult; Adult; anatomy and histology; collagen; Collagen; collagen-based matrix; connective tissue; Connective Tissue; Crowns; dental implant; Dental Implantation, Endosseous; Dental Implants, Single-Tooth; female; Female; follow up; Follow-Up Studies; Guided Tissue Regeneration, Periodontal; human; Humans; male; Male; middle aged; Middle Aged; mouth mucosa; Mouth Mucosa; periodontal guided tissue regeneration; procedures; single tooth implant; soft tissue augmentation; soft tissue volume; subepithelial connective tissue graft; tooth crown; tooth implantation; transplantation
• Online Access: View Fulltext in Publisher

 Aim: To assess peri-implant soft tissue dimensions at implant sites, previously augmented with a collagen matrix (VCMX) or an autogenous subepithelial connective tissue graft (SCTG), between crown insertion and 1 year. Methods: Twenty patients with single-tooth implants received soft tissue augmentation prior to abutment connection randomly using VCMX or SCTG. Following abutment connection 3 months later, final reconstructions were fabricated and inserted (baseline). Patients were recalled at 6 months (6M) and at 1 year (FU-1). Measurements included clinical data, soft tissue thickness, volumetric outcomes and patient-reported outcome measures (PROMs). Results: The buccal soft tissue thickness showed a median decrease of −0.5 mm (−1.0;0.3) (VCMX) and 0.0 mm (−0.5;1.0) (SCTG) (p =.243) up to FU-1. The soft tissue volume demonstrated a median decrease between BL and FU-1 of −0.1 mm (−0.2;0.0) (p =.301) for VCMX and a significant decrease of −0.2 mm (−0.4; −0.1) (p =.002) for SCTG, respectively. Intergroup comparisons did not reveal any significant differences between the groups for peri-implant soft tissue dimensions and changes up to FU-1 (p >.05). PROMs did not show any significant changes over time nor differences between the groups. Conclusion: Between crown insertion and 1 year, the buccal peri-implant soft tissue dimensions remained stable without relevant differences between sites that had previously been grafted with VCMX or SCTG. © 2018 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd