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Surgical procedures for soft tissue augmentation at implant sites. A systematic review and meta‐analysis of randomized controlled trials
- Source :
- Clinical Implant Dentistry and Related Research. 21:1262-1270
- Publication Year :
- 2019
- Publisher :
- Wiley, 2019.
-
Abstract
- BACKGROUND Different procedures were proposed to augment soft tissue around dental implants. OBJECTIVE Aims of this Systematic Review (SR) were to evaluate (a) clinical benefit of soft tissue augmentation at implant sites (b) which is the best surgical procedure to augment soft tissue. MATERIALS AND METHODS Manual/electronic searches were performed to identify randomized controlled trials (RCTs). Change in keratinized tissue thickness (STT) and height (KT) were primary outcomes. Random effects meta-analyses were performed where suitable and expressed as weighted mean differences (MD) with their associated 95% confidence intervals (CI). RESULTS Fourteen RCTs accounting for 475 patients and 538 implants were included. Only five studies were judged at low risk of bias. In the single studies, soft augmentation lead to higher STT and KT compared to no augmentation. Considering primary outcomes, connective tissue graft (CTG) was more effective than xenogeneic collagen matrix (XCM) to improve STT (MD: -0.30 mm; 95% CI -0.43; -0.17; P
- Subjects :
- 0206 medical engineering
Dentistry
Connective tissue
02 engineering and technology
law.invention
03 medical and health sciences
0302 clinical medicine
Randomized controlled trial
law
Humans
Medicine
General Dentistry
Randomized Controlled Trials as Topic
Dental Implants
Augmentation procedure
business.industry
Mouth Mucosa
Soft tissue
030206 dentistry
Peri-Implantitis
020601 biomedical engineering
Confidence interval
medicine.anatomical_structure
Connective Tissue
Meta-analysis
Collagen
Implant
Oral Surgery
Augment
business
Subjects
Details
- ISSN :
- 17088208 and 15230899
- Volume :
- 21
- Database :
- OpenAIRE
- Journal :
- Clinical Implant Dentistry and Related Research
- Accession number :
- edsair.doi.dedup.....ece2ac578cb7a148a78c3b0ea5b23c26
- Full Text :
- https://doi.org/10.1111/cid.12861