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Soft tissue management at implants: Summary and consensus statements of group 2. The 6th EAO Consensus Conference 2021

OBJECTIVES: The task of working Group 2 at the 6th Consensus Meeting of the European Association for Osseointegration was to comprehensively assess the effects of soft tissue augmentation procedures at dental implant sites on clinical, radiographic and patient‐reported outcome measures (PROMs) inclu...

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Autores principales: Thoma, Daniel S., Cosyn, Jan, Fickl, Stefan, Jensen, Simon S., Jung, Ronald E., Raghoebar, Gerry M., Rocchietta, Isabella, Roccuzzo, Mario, Sanz, Mariano, Sanz‐Sánchez, Ignacio, Scarlat, Pavel, Schou, Soren, Stefanini, Martina, Strasding, Malin, Bertl, Kristina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8596754/
https://www.ncbi.nlm.nih.gov/pubmed/34145925
http://dx.doi.org/10.1111/clr.13798
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author Thoma, Daniel S.
Cosyn, Jan
Fickl, Stefan
Jensen, Simon S.
Jung, Ronald E.
Raghoebar, Gerry M.
Rocchietta, Isabella
Roccuzzo, Mario
Sanz, Mariano
Sanz‐Sánchez, Ignacio
Scarlat, Pavel
Schou, Soren
Stefanini, Martina
Strasding, Malin
Bertl, Kristina
author_facet Thoma, Daniel S.
Cosyn, Jan
Fickl, Stefan
Jensen, Simon S.
Jung, Ronald E.
Raghoebar, Gerry M.
Rocchietta, Isabella
Roccuzzo, Mario
Sanz, Mariano
Sanz‐Sánchez, Ignacio
Scarlat, Pavel
Schou, Soren
Stefanini, Martina
Strasding, Malin
Bertl, Kristina
author_sort Thoma, Daniel S.
collection PubMed
description OBJECTIVES: The task of working Group 2 at the 6th Consensus Meeting of the European Association for Osseointegration was to comprehensively assess the effects of soft tissue augmentation procedures at dental implant sites on clinical, radiographic and patient‐reported outcome measures (PROMs) including an overview on available outcome measures and methods of assessment. MATERIALS AND METHODS: Three systematic reviews and one critical review were performed in advance on (i) the effects of soft tissue augmentation procedures on clinical, radiographic and aesthetic outcomes, (ii) reliability and validity of outcome measures and methods of assessment and (iii) PROMs applied in clinical studies for soft tissue augmentation procedures at dental implant sites. Major findings, consensus statements, clinical recommendations and implications for future research were discussed in the group and approved during the plenary sessions. RESULTS: The four reviews predominantly revealed: Soft tissue augmentation procedures in conjunction with immediate and delayed implant placement result in superior aesthetic outcomes compared to no soft tissue augmentation in the zone of aesthetic priority. Soft tissue augmentation procedures have a limited effect on marginal bone level changes compared to implant sites without soft tissue augmentation. Clinically relevant parameters (gingival index, mucosal recession) and plaque control improve at implant sites when the width of keratinised mucosa is increased. A variety of aesthetic indices have been described with good reliability. Pink Esthetic Score and Complex Esthetic Index are the most validated aesthetic indices for single implants, though. Superimposed digital surface scans are most accurate to assess profilometric tissue changes. PROMs following soft tissue augmentation procedures have been assessed using various forms of questionnaires. Soft tissue augmentation had a limited effect on PROMs. CONCLUSIONS: Soft tissue augmentation procedures are widely applied in conjunction with implant therapy. Depending on the indication of these interventions, clinical, radiographic and aesthetic outcomes may improve, whereas the effect on PROMs is limited.
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spelling pubmed-85967542021-11-22 Soft tissue management at implants: Summary and consensus statements of group 2. The 6th EAO Consensus Conference 2021 Thoma, Daniel S. Cosyn, Jan Fickl, Stefan Jensen, Simon S. Jung, Ronald E. Raghoebar, Gerry M. Rocchietta, Isabella Roccuzzo, Mario Sanz, Mariano Sanz‐Sánchez, Ignacio Scarlat, Pavel Schou, Soren Stefanini, Martina Strasding, Malin Bertl, Kristina Clin Oral Implants Res The 6th EAO Consensus Conference 2021 OBJECTIVES: The task of working Group 2 at the 6th Consensus Meeting of the European Association for Osseointegration was to comprehensively assess the effects of soft tissue augmentation procedures at dental implant sites on clinical, radiographic and patient‐reported outcome measures (PROMs) including an overview on available outcome measures and methods of assessment. MATERIALS AND METHODS: Three systematic reviews and one critical review were performed in advance on (i) the effects of soft tissue augmentation procedures on clinical, radiographic and aesthetic outcomes, (ii) reliability and validity of outcome measures and methods of assessment and (iii) PROMs applied in clinical studies for soft tissue augmentation procedures at dental implant sites. Major findings, consensus statements, clinical recommendations and implications for future research were discussed in the group and approved during the plenary sessions. RESULTS: The four reviews predominantly revealed: Soft tissue augmentation procedures in conjunction with immediate and delayed implant placement result in superior aesthetic outcomes compared to no soft tissue augmentation in the zone of aesthetic priority. Soft tissue augmentation procedures have a limited effect on marginal bone level changes compared to implant sites without soft tissue augmentation. Clinically relevant parameters (gingival index, mucosal recession) and plaque control improve at implant sites when the width of keratinised mucosa is increased. A variety of aesthetic indices have been described with good reliability. Pink Esthetic Score and Complex Esthetic Index are the most validated aesthetic indices for single implants, though. Superimposed digital surface scans are most accurate to assess profilometric tissue changes. PROMs following soft tissue augmentation procedures have been assessed using various forms of questionnaires. Soft tissue augmentation had a limited effect on PROMs. CONCLUSIONS: Soft tissue augmentation procedures are widely applied in conjunction with implant therapy. Depending on the indication of these interventions, clinical, radiographic and aesthetic outcomes may improve, whereas the effect on PROMs is limited. John Wiley and Sons Inc. 2021-10-12 2021-10 /pmc/articles/PMC8596754/ /pubmed/34145925 http://dx.doi.org/10.1111/clr.13798 Text en © 2021 The Authors. Clinical Oral Implants Research published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle The 6th EAO Consensus Conference 2021
Thoma, Daniel S.
Cosyn, Jan
Fickl, Stefan
Jensen, Simon S.
Jung, Ronald E.
Raghoebar, Gerry M.
Rocchietta, Isabella
Roccuzzo, Mario
Sanz, Mariano
Sanz‐Sánchez, Ignacio
Scarlat, Pavel
Schou, Soren
Stefanini, Martina
Strasding, Malin
Bertl, Kristina
Soft tissue management at implants: Summary and consensus statements of group 2. The 6th EAO Consensus Conference 2021
title Soft tissue management at implants: Summary and consensus statements of group 2. The 6th EAO Consensus Conference 2021
title_full Soft tissue management at implants: Summary and consensus statements of group 2. The 6th EAO Consensus Conference 2021
title_fullStr Soft tissue management at implants: Summary and consensus statements of group 2. The 6th EAO Consensus Conference 2021
title_full_unstemmed Soft tissue management at implants: Summary and consensus statements of group 2. The 6th EAO Consensus Conference 2021
title_short Soft tissue management at implants: Summary and consensus statements of group 2. The 6th EAO Consensus Conference 2021
title_sort soft tissue management at implants: summary and consensus statements of group 2. the 6th eao consensus conference 2021
topic The 6th EAO Consensus Conference 2021
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8596754/
https://www.ncbi.nlm.nih.gov/pubmed/34145925
http://dx.doi.org/10.1111/clr.13798
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