Prognostic Classification System for Implant Recession Defects. Issue 6 (December 2017)

• Record Type: Journal Article
• Authors: Decker, Ann M.; Suárez-López del Amo, Fernando; Urban, Istvan A.; Miller, Preston D.; Wang, Hom-Lay
• Is Part Of: Implant dentistry. Volume 26:Issue 6(2017:Dec.)
• Publication Date: 2017-12
• Subjects: dental implants -- gingival recession -- plastic surgery -- esthetic -- dental -- treatment outcome; Dental implants -- Periodicals; 617.69305
• DOI: 10.1097/ID.0000000000000630
• Languages: English
• ISSNs: 1056-6163

Abstract

Abstract : Purpose: The etiology and progression of periimplant mucogingival defects are multifactorial. As such, the aim of this study was to discern and discuss the key long-term prognostic factors that change the balance of homeostasis/regeneration in periimplant mucogingival and recession defects. Materials and Methods: This report provides cases and a discussion of anatomical factors that affect the long-term maintenance of periimplant soft tissue. Results: The factors guiding long-term maintenance of the periimplant soft tissue apparatus are increasingly complex due to the additive combination of patient-related factors, anatomical variations, and unique material-host interactions. Conclusions: Severity and number of these contributing factors should be considered before implant placement and/or in the treatment of periimplant defects to achieve the best esthetic and functional outcome. In addition, assessment of prognostic factors should be used to provide the patient a realistic, long-term assessment of the esthetic and functional stability of both implant and the surrounding periimplant tissues.