Free gingival grafts for implants exhibiting lack of keratinized mucosa: a prospective controlled randomized clinical study
Introduction To evaluate clinical and radiographic outcomes following free gingival grafts (FGGs) around implants with limited keratinized mucosa (KM) during 18 months follow‐up compared to oral prophylaxis without augmentation. Materials and Methods This prospective controlled randomized blind clin...
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| Veröffentlicht in: | Journal of clinical periodontology 2017-02, Vol.44 (2), p.195-203 |
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| creator | Oh, Se‐Lim Masri, Radi M. Williams, David A. Ji, Chao Romberg, Elaine |
| description | Introduction
To evaluate clinical and radiographic outcomes following free gingival grafts (FGGs) around implants with limited keratinized mucosa (KM) during 18 months follow‐up compared to oral prophylaxis without augmentation.
Materials and Methods
This prospective controlled randomized blind clinical study investigated 41 implants displaying lack of KM in 28 subjects. After baseline examination, 14 subjects in the experimental group received FGGs followed by oral prophylaxis and 14 subjects in the control group received oral prophylaxis only. The width of KM, the level of mucosal margin, pocket depths, plaque index, and gingival index (GI) were assessed at baseline, 6, 12, and 18 months. Changes in crestal bone levels, from baseline, were assessed at 18 months.
Results
There was a significant gain in KM in the FGG group compared to controls at 6, 12, 18 months. The mean GI was significantly lower for the FGG group at all follow‐ups. Crestal bone loss in the FGG group was significantly less than the control group (mesial: p = 0.0005, distal: p = 0.042) at 18 months.
Conclusions
Free gingival graft for implants exhibiting lack of KM is a viable treatment option to reduce mucosal inflammation and to maintain crestal bone level in the short term. |
| doi_str_mv | 10.1111/jcpe.12660 |
| format | Article |
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To evaluate clinical and radiographic outcomes following free gingival grafts (FGGs) around implants with limited keratinized mucosa (KM) during 18 months follow‐up compared to oral prophylaxis without augmentation.
Materials and Methods
This prospective controlled randomized blind clinical study investigated 41 implants displaying lack of KM in 28 subjects. After baseline examination, 14 subjects in the experimental group received FGGs followed by oral prophylaxis and 14 subjects in the control group received oral prophylaxis only. The width of KM, the level of mucosal margin, pocket depths, plaque index, and gingival index (GI) were assessed at baseline, 6, 12, and 18 months. Changes in crestal bone levels, from baseline, were assessed at 18 months.
Results
There was a significant gain in KM in the FGG group compared to controls at 6, 12, 18 months. The mean GI was significantly lower for the FGG group at all follow‐ups. Crestal bone loss in the FGG group was significantly less than the control group (mesial: p = 0.0005, distal: p = 0.042) at 18 months.
Conclusions
Free gingival graft for implants exhibiting lack of KM is a viable treatment option to reduce mucosal inflammation and to maintain crestal bone level in the short term.</description><identifier>ISSN: 0303-6979</identifier><identifier>EISSN: 1600-051X</identifier><identifier>DOI: 10.1111/jcpe.12660</identifier><identifier>PMID: 27930813</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Aged ; Clinical trials ; Dental Implantation, Endosseous ; Dentistry ; Female ; Follow-Up Studies ; free gingival graft ; Gingiva - transplantation ; Gum disease ; Humans ; implant ; keratinized mucosa ; Keratins - analysis ; Male ; Middle Aged ; Mouth Mucosa - chemistry ; Prospective Studies ; prospective study ; Single-Blind Method ; Transplants & implants</subject><ispartof>Journal of clinical periodontology, 2017-02, Vol.44 (2), p.195-203</ispartof><rights>2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd</rights><rights>2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.</rights><rights>Copyright © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4560-70991aac214b1831fd54393351a2523fe05ffbd2bd60093cf13a66d6e4fb63a73</citedby><cites>FETCH-LOGICAL-c4560-70991aac214b1831fd54393351a2523fe05ffbd2bd60093cf13a66d6e4fb63a73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjcpe.12660$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjcpe.12660$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27930813$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Oh, Se‐Lim</creatorcontrib><creatorcontrib>Masri, Radi M.</creatorcontrib><creatorcontrib>Williams, David A.</creatorcontrib><creatorcontrib>Ji, Chao</creatorcontrib><creatorcontrib>Romberg, Elaine</creatorcontrib><title>Free gingival grafts for implants exhibiting lack of keratinized mucosa: a prospective controlled randomized clinical study</title><title>Journal of clinical periodontology</title><addtitle>J Clin Periodontol</addtitle><description>Introduction
To evaluate clinical and radiographic outcomes following free gingival grafts (FGGs) around implants with limited keratinized mucosa (KM) during 18 months follow‐up compared to oral prophylaxis without augmentation.
Materials and Methods
This prospective controlled randomized blind clinical study investigated 41 implants displaying lack of KM in 28 subjects. After baseline examination, 14 subjects in the experimental group received FGGs followed by oral prophylaxis and 14 subjects in the control group received oral prophylaxis only. The width of KM, the level of mucosal margin, pocket depths, plaque index, and gingival index (GI) were assessed at baseline, 6, 12, and 18 months. Changes in crestal bone levels, from baseline, were assessed at 18 months.
Results
There was a significant gain in KM in the FGG group compared to controls at 6, 12, 18 months. The mean GI was significantly lower for the FGG group at all follow‐ups. Crestal bone loss in the FGG group was significantly less than the control group (mesial: p = 0.0005, distal: p = 0.042) at 18 months.
Conclusions
Free gingival graft for implants exhibiting lack of KM is a viable treatment option to reduce mucosal inflammation and to maintain crestal bone level in the short term.</description><subject>Aged</subject><subject>Clinical trials</subject><subject>Dental Implantation, Endosseous</subject><subject>Dentistry</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>free gingival graft</subject><subject>Gingiva - transplantation</subject><subject>Gum disease</subject><subject>Humans</subject><subject>implant</subject><subject>keratinized mucosa</subject><subject>Keratins - analysis</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Mouth Mucosa - chemistry</subject><subject>Prospective Studies</subject><subject>prospective study</subject><subject>Single-Blind Method</subject><subject>Transplants & implants</subject><issn>0303-6979</issn><issn>1600-051X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkUFv1DAQhS0EosvChR-ALHFBSCl2nNgxN7RqoVWlcgCJW-Q448VbJw52Ulj480y7pQcOCF8sjz6_mTePkOecHXM8b3Z2gmNeSskekBWXjBWs5l8ekhUTTBRSK31EnuS8Y4wrIcRjclQqLVjDxYr8Ok0AdOvHrb82gW6TcXOmLibqhymYER_w46vv_IwIDcZe0ejoFSSDBf8TejosNmbzlho6pZgnsLO_BmrjOKcYAgLJjH0cblkb8JPFPnle-v1T8siZkOHZ3b0mn09PPm0-FBeX78827y4KW9WSFYppzY2xJa863gju-roSWoiam7IuhQNWO9f1ZdejdS2s48JI2UuoXCeFUWJNXh10ccBvC-S5HXy2ENAexCW3vFFlw2XF5H-glWp03WD7NXn5F7qLSxrRCFJSsVqqSiP1-kBZXE5O4Nop-cGkfctZe5Nee5Nee5sewi_uJJdugP4e_RMXAvwAfPcB9v-Qas83H08Oor8BhAilnA</recordid><startdate>201702</startdate><enddate>201702</enddate><creator>Oh, Se‐Lim</creator><creator>Masri, Radi M.</creator><creator>Williams, David A.</creator><creator>Ji, Chao</creator><creator>Romberg, Elaine</creator><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201702</creationdate><title>Free gingival grafts for implants exhibiting lack of keratinized mucosa: a prospective controlled randomized clinical study</title><author>Oh, Se‐Lim ; Masri, Radi M. ; Williams, David A. ; Ji, Chao ; Romberg, Elaine</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4560-70991aac214b1831fd54393351a2523fe05ffbd2bd60093cf13a66d6e4fb63a73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Aged</topic><topic>Clinical trials</topic><topic>Dental Implantation, Endosseous</topic><topic>Dentistry</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>free gingival graft</topic><topic>Gingiva - transplantation</topic><topic>Gum disease</topic><topic>Humans</topic><topic>implant</topic><topic>keratinized mucosa</topic><topic>Keratins - analysis</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Mouth Mucosa - chemistry</topic><topic>Prospective Studies</topic><topic>prospective study</topic><topic>Single-Blind Method</topic><topic>Transplants & implants</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Oh, Se‐Lim</creatorcontrib><creatorcontrib>Masri, Radi M.</creatorcontrib><creatorcontrib>Williams, David A.</creatorcontrib><creatorcontrib>Ji, Chao</creatorcontrib><creatorcontrib>Romberg, Elaine</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical periodontology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Oh, Se‐Lim</au><au>Masri, Radi M.</au><au>Williams, David A.</au><au>Ji, Chao</au><au>Romberg, Elaine</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Free gingival grafts for implants exhibiting lack of keratinized mucosa: a prospective controlled randomized clinical study</atitle><jtitle>Journal of clinical periodontology</jtitle><addtitle>J Clin Periodontol</addtitle><date>2017-02</date><risdate>2017</risdate><volume>44</volume><issue>2</issue><spage>195</spage><epage>203</epage><pages>195-203</pages><issn>0303-6979</issn><eissn>1600-051X</eissn><abstract>Introduction
To evaluate clinical and radiographic outcomes following free gingival grafts (FGGs) around implants with limited keratinized mucosa (KM) during 18 months follow‐up compared to oral prophylaxis without augmentation.
Materials and Methods
This prospective controlled randomized blind clinical study investigated 41 implants displaying lack of KM in 28 subjects. After baseline examination, 14 subjects in the experimental group received FGGs followed by oral prophylaxis and 14 subjects in the control group received oral prophylaxis only. The width of KM, the level of mucosal margin, pocket depths, plaque index, and gingival index (GI) were assessed at baseline, 6, 12, and 18 months. Changes in crestal bone levels, from baseline, were assessed at 18 months.
Results
There was a significant gain in KM in the FGG group compared to controls at 6, 12, 18 months. The mean GI was significantly lower for the FGG group at all follow‐ups. Crestal bone loss in the FGG group was significantly less than the control group (mesial: p = 0.0005, distal: p = 0.042) at 18 months.
Conclusions
Free gingival graft for implants exhibiting lack of KM is a viable treatment option to reduce mucosal inflammation and to maintain crestal bone level in the short term.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>27930813</pmid><doi>10.1111/jcpe.12660</doi><tpages>9</tpages></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Aged Clinical trials Dental Implantation, Endosseous Dentistry Female Follow-Up Studies free gingival graft Gingiva - transplantation Gum disease Humans implant keratinized mucosa Keratins - analysis Male Middle Aged Mouth Mucosa - chemistry Prospective Studies prospective study Single-Blind Method Transplants & implants |
| title | Free gingival grafts for implants exhibiting lack of keratinized mucosa: a prospective controlled randomized clinical study |
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