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Soft tissue stability and volumetric changes after 5 years in pontic sites with or without soft tissue grafting: a retrospective cohort study.

Abstract：

UNLABELLED:To evaluate volumetric changes (VC) of pontic sites with or without soft tissue grafting over 5 years. MATERIAL AND METHODS:Twelve patients participating in a prospective clinical trial evaluating fixed dental prostheses (FDPs) were selected on the basis of having received a subepithelial connective tissue graft for soft volume augmentation in pontic sites (augmentation group [AG]). An additional 12 patients, belonging to the same study, that had not received soft tissue grafting were used as controls (control group [CG]). Casts made from dental impressions taken at prosthesis delivery (baseline [BL]) and at 5 years (5-FU) were digitized, and linear and volumetric measurements performed to assess the soft tissue pontic height (PH), abutment height (AH), (VC) and changes in tissue thickness (TT) on the buccal side of the pontics. RESULTS:There were no significant differences at BL between the two groups for linear measurements (P > 0.05). The changes in soft tissue pontic height (PHC) amounted to a loss in the height of 0.34 mm (SD = 0.5) and 0.35 mm (0.2) for AG and CG, respectively. The mean VC amounted to a loss of 5.31 mm(3) (±1.1) (AG) and 4.32 mm(3) (±1.7) (CG). None of the changes between BL and 5-FU in volumetric and linear measurements, including TT and mean mesial and distal abutment height changes (mAHC and dAHC), reached statistically significant differences between AG and CG (P > 0.05). However the changes in linear measurements from BL to 5-FU were significant in all parameters for both groups (P < 0.01). CONCLUSION:At an observational period of 5 years, pontic sites with or without grafting under FDPs demonstrated similar dimensional stability. CLINICAL RELEVANCE:Pontic sites with or without grafting are volumetrically stable over 5 years.

journal_name

Clin Oral Implants Res

journal_title

Clinical oral implants research

authors

Sanz-Martín I,Sailer I,Hämmerle CH,Thoma DS

doi

10.1111/clr.12743

subject

Has Abstract

pub_date

2016-08-01 00:00:00

pages

969-74

issue

eissn

0905-7161

issn

1600-0501

journal_volume

pub_type

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Soft tissue stability and volumetric changes after 5 years in pontic sites with or without soft tissue grafting: a retrospective cohort study.