Influence of mucosal tissue thickness on placement of implant at crestal, sub-crestal and supra-crestal level

A literature review

https://doi.org/10.53730/ijhs.v6nS1.6989

Authors

  • A.I. Raj Associate Professor, Department of Oral & Maxillofacial Surgery, Meenakshi Ammal Dental College & Hospital, Chennai
  • Aditya Agrawal PG Trainee, Department of Oral & Maxillofacial Surgery, Meenakshi Ammal Dental College & Hospital, Chennai
  • Jayanthi L PG Trainee, Department of Oral & Maxillofacial Surgery, Meenakshi Ammal Dental College & Hospital, Chennai
  • R. Manikandhan Professor, Department of Oral & Maxillofacial Surgery, Meenakshi Ammal Dental College & Hospital, Chennai

Keywords:

Crestal bone loss, mucosal tissue thickness, dental implants, implant placement, vertical mucosal thickness, marginal bone loss

Abstract

Introduction: Dental implants are preferred for replacing missing tooth. They form sturdy connection to bone by osseointegration. During this, bone remodelling occurs which results in bone loss. Expected normal bone loss is 0.5 mm to 1 mm. Crestal bone level is the important factor in long term implant stability and success. According to studies if mucosal tissues are thinned to <2 mm, there is significant crestal bone resorption, compared with implants placed with >2mm thickness. Linkevicious et al. performed clinical controlled study and confirmed same. Many recent studies have similar results. This literature review is framed to understand the effect of mucosal thickness on Sub-crestal, Supra-crestal and Crestal level of implant placement & its relation to amount of crestal bone loss. Aim: To evaluate how effect of mucosal tissue thickness at crestal bone level around dental implant. Methodology: Literature was selected by searching in online journals. Keywords used were “dental implants”, “vertical mucosal thickness”, “peri-implant tissues, “crestal-bone loss”, “marginal-bone loss”, “implant-abutment interface”, “biologic width”. Articles published in English Language was selected from year 1992-2019. Rationale/Hypothesis: Recent clinical researches proved that soft tissue thickness is an important factor in preserving crestal bone around implants.

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References

Lindhe J, Berglundh T, Ericsson I, Liljenberg B, Marinello C. Experimental breakdown of peri-implant and periodontal tissues. A study in the beagle dog. Clinical Oral Implants Research. 1992;3(1):9–16.

Linkevicius T, Apse P, Grybauskas S, Puisys A. Reaction of crestal bone around implants depending on mucosal tissue thickness. A 1-year prospective clinical study. 2009;11(3):9.

Linkevicius T, Puisys A, Steigmann M, Vindasiute E, Linkeviciene L. Influence of Vertical Soft Tissue Thickness on Crestal Bone Changes Around Implants with Platform Switching: A Comparative Clinical Study: Platform Switching Does Not Reduce Bone Loss. Clinical Implant Dentistry and Related Research. 2015 Dec;17(6):1228–36.

Kan JYK, Rungcharassaeng K, Umezu K, Kois JC. Dimensions of Peri-Implant Mucosa: An Evaluation of Maxillary Anterior Single Implants in Humans. Journal of Periodontology. 2003 Apr;74(4):557–62.

Linkevicius T, Apse P. Biologic Width Around Implants. An Evidence-Based Review. 2008;10(1):9.

Oh TJ, Yoon J, Misch CE, Wang HL. The Causes of Early Implant Bone Loss: Myth or Science? Journal of Periodontology. 2002 Mar;73(3):322–33.

Suárez-López del Amo F, Lin GH, Monje A, Galindo-Moreno P, Wang HL. Influence of Soft Tissue Thickness on Peri-Implant Marginal Bone Loss: A Systematic Review and Meta-Analysis. Journal of Periodontology. 2016 Jun;87(6):690–9.

de Siqueira RAC, Fontão FNGK, Sartori IA de M, Santos PGF, Bernardes SR, Tiossi R. Effect of different implant placement depths on crestal bone levels and soft tissue behavior: a randomized clinical trial. Clin Oral Impl Res. 2017 Oct;28(10):1227–33.

van Eekeren P, van Elsas P, Tahmaseb A, Wismeijer D. The influence of initial mucosal thickness on crestal bone change in similar macrogeometrical implants: a prospective randomized clinical trial. Clinical Oral Implants Research. 2017;28(2):214–8.

van Eekeren P, Tahmaseb A, Wismeijer D. Crestal Bone Changes Around Implants with Implant-Abutment Connections at Epicrestal Level or Above: Systematic Review and Meta-Analysis. Int J Oral Maxillofac Implants. 2016 Jan;31(1):119–24.

Albrektsson T, Buser D, Sennerby L. Crestal Bone Loss and Oral Implants: Crestal Bone Loss. Clinical Implant Dentistry and Related Research. 2012 Dec;14(6):783–91.

Meloni SM, Baldoni E, Pisano M, Tullio A, Riu GD, Tallarico M. 1-year results from a split-mouth randomised controlled pilot trial comparing implants with 0.75 mm of machined collar placed at bone level or supracrestally. Eur J Oral Implantol. :7.

Cochran DL, Hermann JS, Schenk RK, Higginbottom FL, Buser D. Biologic Width Around Titanium Implants. A Histometric Analysis of the Implanto-Gingival Junction Around Unloaded and Loaded Nonsubmerged Implants in the Canine Mandible. Journal of Periodontology. 1997 Feb;68(2):186–97.

Romanos GE, Aydin E, Gaertner K, Nentwig GH. Long-Term Results after Subcrestal or Crestal Placement of Delayed Loaded Implants: Corono-Apical Implant Position. Clinical Implant Dentistry and Related Research. 2015 Feb;17(1):133–41.

Linkevicius T, Puisys A, Linkeviciene L, Peciuliene V, Schlee M. Crestal Bone Stability around Implants with Horizontally Matching Connection after Soft Tissue Thickening: A Prospective Clinical Trial: Thickened Soft Tissues Improve Bone Stability. Clinical Implant Dentistry and Related Research. 2015 Jun;17(3):497–508.

Vervaeke S, Dierens M, Besseler J, De Bruyn H. The Influence of Initial Soft Tissue Thickness on Peri-Implant Bone Remodeling: Soft Tissue Thickness and Bone Remodeling. Clinical Implant Dentistry and Related Research. 2014 Apr;16(2):238–47.

Fetner M, Fetner A, Koutouzis T, Clozza E, Tovar N, Sarendranath A, et al. The Effects of Subcrestal Implant Placement on Crestal Bone Levels and Bone-to-Abutment Contact: A Microcomputed Tomographic and Histologic Study in Dogs. Int J Oral Maxillofac Implants. 2015 Sep;30(5):1068–75.

Vervaeke S, Matthys C, Nassar R, Christiaens V, Cosyn J, De Bruyn H. Adapting the vertical position of implants with a conical connection in relation to soft tissue thickness prevents early implant surface exposure: A 2-year prospective intra-subject comparison. J Clin Periodontol. 2018 May;45(5):605–12.

Esposito M. Impact of 0.5 mm vs 1.5 mm subcrestal implant placement on marginal bone loss and aesthetics ‐ 3‐year results of a multicenter RCT. Clin Oral Impl Res. 2019 Sep;30(S19):31–31.

Published

06-05-2022

How to Cite

Raj, A. I., Agrawal, A., Jayanthi, L., & Manikandhan, R. (2022). Influence of mucosal tissue thickness on placement of implant at crestal, sub-crestal and supra-crestal level: A literature review. International Journal of Health Sciences, 6(S1), 8800–8818. https://doi.org/10.53730/ijhs.v6nS1.6989

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