R. Barone et al., A PROTOCOL FOR MAINTAINING OR INCREASING THE WIDTH OF MASTICATORY MUCOSA AROUND SUBMERGED IMPLANTS - A 1-YEAR PROSPECTIVE-STUDY ON 53 PATIENTS, The International journal of periodontics & restorative dentistry, 18(4), 1998, pp. 377-387
Masticatory mucosa around implants may be useful to enhance esthetics
and/or plaque control. This study proposes simplified guidelines for m
aintaining or obtaining a minimal amount of masticatory mucosa around
submerged implants in cases of partial edentulism, and for keeping the
need for additional surgery to a minimum. Free gingival grafts were u
sed in the mandibular arch when the width of buccal masticatory mucosa
was less than 2 mm. The width of masticatory mucosa expected to be av
ailable for attachment to the bone surface buccal to implants was esti
mated by measuring the distance between the emergence of the implant f
rom bone and the mucogingival junction. When this distance was 3 mm or
less, the use of an apically positioned flap for implant exposure was
preferred over gingivectomy. The amount of masticatory mucosa buccal
to implants was measured 2 weeks, 6 months, and 12 months after implan
t exposure. In no case was the width of masticatory mucosa less than 2
mm at 1 year. Therefore, this protocol is recommended for the treatme
nt of cases where the presence of an adequate amount of masticatory mu
cosa is necessary to ensure a satisfying appearance or is useful for f
acilitating oral hygiene.