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Impact of mucosal phenotype on marginal bone levels around tissue level implants: A prospective controlled trial
Journal article   Peer reviewed

Impact of mucosal phenotype on marginal bone levels around tissue level implants: A prospective controlled trial

Carlos Garaicoa Pazmino, Gustavo Mendonca, Alice Ou, Hsun-liang Chan, James Mailoa, Fernando Suarez-Lopez del Amo and Hom-lay Wang
The Journal of periodontology., Vol.92(6), pp.771-783
06/2021
DOI: 10.1002/JPER.20-0458

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Abstract

Background: The aim of this 1-year prospective clinical trial was to compare clinical parameters and marginal bone levels (MBLs) around tissue level implants with a partially smooth collar between patients with thin (≤2 mm) and thick (>2 mm) vertical mucosal phenotypes. Methods: Thirty patients needing a single dental implant were recruited and allocated to thin (n = 14) or thick (n = 16) phenotype groups. Post-restoration, clinical (probing depth, recession, width of keratinized mucosa, bleeding on probing, suppuration, implant mobility, plaque index, and gingival index) and radiographic bone level measurements were recorded at different timepoints for 1 year. Results: Twenty-six patients (13 per group) completed the 1-year examination. No implants were lost (100% survival rate). There were no significant differences (P >0.05) between thin and thick vertical mucosal phenotypes for any clinical parameter or for the radiographic MBL. Conclusions: Tissue level implants at 1 year of function placed in thin vertical mucosa achieved similar clinical parameters and radiographic MBLs as those in thick tissue. The formation of the peri-implant supracrestal tissue height plays a key role in MBL than mucosal thickness in tissue level implant.
Phenotype dental implant soft tissue therapy peri-implant endosseous healing alveolar boneloss

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