Morphological Evaluation of Peri-implant Mucosa：Implant Platform Level as a New Reference Plane
Purpose: Thickness of peri-implant mucosa is an important factor in maintaining an esthetic prognosis. The purpose of this study was to evaluate the morphological features of peri-implant mucosa. Materials and Methods: Forty-two patients, aged 26 to 72 years (average: 48, 20 males and 22 females), w...
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| Published in | Journal of Japanese Society of Oral Implantology Vol. 22; no. 2; pp. 141 - 146 |
|---|---|
| Main Authors | , , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
Japanese Society of Oral Implantology
30.06.2009
公益社団法人 日本口腔インプラント学会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0914-6695 2187-9117 |
| DOI | 10.11237/jsoi.22.141 |
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| Abstract | Purpose: Thickness of peri-implant mucosa is an important factor in maintaining an esthetic prognosis. The purpose of this study was to evaluate the morphological features of peri-implant mucosa. Materials and Methods: Forty-two patients, aged 26 to 72 years (average: 48, 20 males and 22 females), who had had Brånemark System® and TiUnite Replacement implants (Nobel Biocare, Göteborg, Sweden) placed in their oral cavity at Tsurumi University Dental Hospital were selected at random. Eighty-two working casts that had been used for fabricating the final prosthesis were examined. The width and height of buccal peri-implant mucosa were measured with a micro-caliper. The measurements were recorded and the means, standard deviations, and frequency were calculated. Correlation analysis was performed to describe the association between the width and the height. Analysis of variance was used to confirm the statistical differences between regions using SPSS12. Results: The width, height and their ratio of peri-implant mucosa measured were (2.45 mm± 0.93, 1.62mm± 0.72, 1.64± 0.73:1) respectively. There was a statistically significant correlation (r=0.48, p=0.00) between the width and the height. In 10 cases, the height of peri-implant mucosa was greater than the width. According to the regions, the widths of the maxillary incisor and canine (p=0.019) and mandibular molar (p=0.000) regions were significantly greater than that of the mandibular premolar region. The heights of the mandibular premolar (p=0.050) and maxillary molar (p=0.040) regions were significantly smaller than that of the maxillary incisor and canine region. The ratio of the maxillary incisor and canine region was significantly less than that of the mandibular molar region(p=0.003). Conclusions: The implant platform was useful as the working reference plane. The height of peri-implant mucosa was significantly less than the width. The ratio of width to height was about 1.64:1. |
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| AbstractList | Purpose: Thickness of peri-implant mucosa is an important factor in maintaining an esthetic prognosis. The purpose of this study was to evaluate the morphological features of peri-implant mucosa. Materials and Methods: Forty-two patients, aged 26 to 72 years (average: 48, 20 males and 22 females), who had had Brånemark System® and TiUnite Replacement implants (Nobel Biocare, Göteborg, Sweden) placed in their oral cavity at Tsurumi University Dental Hospital were selected at random. Eighty-two working casts that had been used for fabricating the final prosthesis were examined. The width and height of buccal peri-implant mucosa were measured with a micro-caliper. The measurements were recorded and the means, standard deviations, and frequency were calculated. Correlation analysis was performed to describe the association between the width and the height. Analysis of variance was used to confirm the statistical differences between regions using SPSS12. Results: The width, height and their ratio of peri-implant mucosa measured were (2.45 mm± 0.93, 1.62mm± 0.72, 1.64± 0.73:1) respectively. There was a statistically significant correlation (r=0.48, p=0.00) between the width and the height. In 10 cases, the height of peri-implant mucosa was greater than the width. According to the regions, the widths of the maxillary incisor and canine (p=0.019) and mandibular molar (p=0.000) regions were significantly greater than that of the mandibular premolar region. The heights of the mandibular premolar (p=0.050) and maxillary molar (p=0.040) regions were significantly smaller than that of the maxillary incisor and canine region. The ratio of the maxillary incisor and canine region was significantly less than that of the mandibular molar region(p=0.003). Conclusions: The implant platform was useful as the working reference plane. The height of peri-implant mucosa was significantly less than the width. The ratio of width to height was about 1.64:1. Purpose: Thickness of peri-implant mucosa is an important factor in maintaining an esthetic prognosis. The purpose of this study was to evaluate the morphological features of peri-implant mucosa. Materials and Methods: Forty-two patients, aged 26 to 72 years (average: 48, 20 males and 22 females), who had had Brånemark System® and TiUnite Replacement implants (Nobel Biocare, Göteborg, Sweden) placed in their oral cavity at Tsurumi University Dental Hospital were selected at random. Eighty-two working casts that had been used for fabricating the final prosthesis were examined. The width and height of buccal peri-implant mucosa were measured with a micro-caliper. The measurements were recorded and the means, standard deviations, and frequency were calculated. Correlation analysis was performed to describe the association between the width and the height. Analysis of variance was used to confirm the statistical differences between regions using SPSS12. Results: The width, height and their ratio of peri-implant mucosa measured were (2.45 mm± 0.93, 1.62mm± 0.72, 1.64± 0.73:1) respectively. There was a statistically significant correlation (r=0.48, p=0.00) between the width and the height. In 10 cases, the height of peri-implant mucosa was greater than the width. According to the regions, the widths of the maxillary incisor and canine (p=0.019) and mandibular molar (p=0.000) regions were significantly greater than that of the mandibular premolar region. The heights of the mandibular premolar (p=0.050) and maxillary molar (p=0.040) regions were significantly smaller than that of the maxillary incisor and canine region. The ratio of the maxillary incisor and canine region was significantly less than that of the mandibular molar region(p=0.003). Conclusions: The implant platform was useful as the working reference plane. The height of peri-implant mucosa was significantly less than the width. The ratio of width to height was about 1.64:1. |
| Author | KOBAYASHI, Mariko MIYAKE, Kazunaga SATO, Junichi KAWASAKI, Fumitsugu IKETANI, Toshikazu UENO, Daisuke ARAI, Takashi MORITA, Masayuki |
| Author_FL | 上野 大輔 池谷 俊和 KOBAYASHI Mariko 川崎 文嗣 MIYAKE Kazunaga 森田 雅之 佐藤 淳一 新井 髙 |
| Author_FL_xml | – sequence: 1 fullname: 上野 大輔 – sequence: 2 fullname: 川崎 文嗣 – sequence: 3 fullname: 森田 雅之 – sequence: 4 fullname: KOBAYASHI Mariko – sequence: 5 fullname: MIYAKE Kazunaga – sequence: 6 fullname: 池谷 俊和 – sequence: 7 fullname: 佐藤 淳一 – sequence: 8 fullname: 新井 髙 |
| Author_xml | – sequence: 1 fullname: SATO, Junichi organization: Department of Oral and Maxillofacial Surgery, Tsurumi University School of Dental Medicine – sequence: 1 fullname: IKETANI, Toshikazu organization: Unit of Oral and Maxillofacial Implantology, Tsurumi University School of Dental Medicine – sequence: 1 fullname: UENO, Daisuke organization: Unit of Oral and Maxillofacial Implantology, Tsurumi University School of Dental Medicine – sequence: 1 fullname: KOBAYASHI, Mariko organization: Unit of Oral and Maxillofacial Implantology, Tsurumi University School of Dental Medicine – sequence: 1 fullname: MIYAKE, Kazunaga organization: Unit of Oral and Maxillofacial Implantology, Tsurumi University School of Dental Medicine – sequence: 1 fullname: ARAI, Takashi organization: Department of Periodontics and Endodontics, Tsurumi University School of Dental Medicine – sequence: 1 fullname: MORITA, Masayuki organization: Department of Oral and Maxillofacial Surgery, Tsurumi University School of Dental Medicine – sequence: 1 fullname: KAWASAKI, Fumitsugu organization: Department of Periodontics and Endodontics, Tsurumi University School of Dental Medicine |
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| References | 12) LANG, N. P., WETZEL. A. C., STICH, H. and CAFFESSE, R. G.:Histological probe penetration in healthy and inflamed peri-implant tissue;Clin. Oral Implants Res.,5:191-201,1994. 10) ERICSSON, I. and LINDHE, J.:Probing depth at implant and teeth;An experimental study in the dog;J. Clin. Periodontol.,20:623-627,1993. 11) EGELBERG, J.:The blood vessels of the dentogingival junction;J. Periodontal Res.,1:163-179,1966. 14) 野澤 健, 榎本紘昭, 杉山貴彦, 渡邊文彦：インプラント頰側縁上粘膜の生物学的比率；日口腔インプラント誌, 19：37-38, 2006. 8) OLSON, M., LINDE, J. and MARINELLO, C. P.:On the relationship between crown form and clinical features of the gingiva in adolescents;J. Clin. Periodontol., 20:570-577,1993. 13) STUDER, S. P., ALLEN, E. P., REES, T. C. and KOUBA, A.:The thickness of masticatory mucosa in the human hard palate and tuberosity as potential donor sites for ridge augumentation procedures;J. Periodontol.,68:145-151,1997. 9) EGER, T., MULLER, H. P. and HELNECLE, A.: Ultrasonic determination of gingival thickness. Subject variation and influence of tooth type and clinical features; J. Clin. Periodontol.,23:839-845,1996. 7) CHANG, M., WENNSTROM, J. L., ODMAN, P. and ANDERSSON, B.:Implant supported single-tooth replacements compared to contralateral natural teeth. Crown and soft tissue dimensions;Clin. Oral Implants Res.,10:185-194,1999. 16) HERMANN, J. S., BUSER, D., SCHENK, R. K. and COCHRAN, D. L.:Crestal bone changes around titanium implants. A histometric evaluation of unloaded non-submerged and submerged implants in the canine mandible;J. Periodontol.,68:1117-1130,1997. 2) KOIS, J. C.:Predictable single-tooth peri-implant esthetics:Five diagnostic keys;Compend. Contin. Educ. Dent.,25:895-896,898,900,2004. 5) KAN, J. Y., RUNQCHARASSAENG, K., UMEZU, K. and KOIS, J. C.:Dimensions of peri-implant mucosa: an evaluation of maxillary anterior single implants in humans;J. Periodontol.,74:557-562,2003. 4) ESPOSITO, M., EKESTUBBE, A. and GRONDAHL, K.:Radiological evaluation of marginal bone loss at tooth surfaces facing single Branemark implants;Clin. Oral Implants Res.,4:151-157,1993. 6) CARDAROPOLI, G., LEKHOLM, U. and WENNSTROM, J. L.:Tissue alterations at implantsupported single-tooth replacements:a 1 year prospective clinical study;Clin. Oral Implants Res.,17:165-171,2006. 3) SPRAY, J. R., BLACK, C. G., MORRIS, H. F. and OCHI, S.:Influence of bone thickness on facial marginal bone response:Stage 1 placement through stage 2 uncovering;Ann. Periodontol.,5:119-128,2000. 15) GOASLIND, G. D., ROBERTSON, P. B., MAHAN, C. J., MORRISON, W. W. and OLSON, J. V.:Thickness of facial gingiva;J. Periodontol.,48:768-771,1997. 1) BELSER, U. C., BUSER, D., HESS, D., SCHMID, B., BERNARD, J. P. and LANG, N. P.:Esthetic implant restorations in partially edentulous patients-a critical appraisal;Periodontol.,2000,17:132-150,1998. |
| References_xml | – reference: 1) BELSER, U. C., BUSER, D., HESS, D., SCHMID, B., BERNARD, J. P. and LANG, N. P.:Esthetic implant restorations in partially edentulous patients-a critical appraisal;Periodontol.,2000,17:132-150,1998. – reference: 11) EGELBERG, J.:The blood vessels of the dentogingival junction;J. Periodontal Res.,1:163-179,1966. – reference: 6) CARDAROPOLI, G., LEKHOLM, U. and WENNSTROM, J. L.:Tissue alterations at implantsupported single-tooth replacements:a 1 year prospective clinical study;Clin. Oral Implants Res.,17:165-171,2006. – reference: 8) OLSON, M., LINDE, J. and MARINELLO, C. P.:On the relationship between crown form and clinical features of the gingiva in adolescents;J. Clin. Periodontol., 20:570-577,1993. – reference: 7) CHANG, M., WENNSTROM, J. L., ODMAN, P. and ANDERSSON, B.:Implant supported single-tooth replacements compared to contralateral natural teeth. Crown and soft tissue dimensions;Clin. Oral Implants Res.,10:185-194,1999. – reference: 16) HERMANN, J. S., BUSER, D., SCHENK, R. K. and COCHRAN, D. L.:Crestal bone changes around titanium implants. A histometric evaluation of unloaded non-submerged and submerged implants in the canine mandible;J. Periodontol.,68:1117-1130,1997. – reference: 10) ERICSSON, I. and LINDHE, J.:Probing depth at implant and teeth;An experimental study in the dog;J. Clin. Periodontol.,20:623-627,1993. – reference: 12) LANG, N. P., WETZEL. A. C., STICH, H. and CAFFESSE, R. G.:Histological probe penetration in healthy and inflamed peri-implant tissue;Clin. Oral Implants Res.,5:191-201,1994. – reference: 13) STUDER, S. P., ALLEN, E. P., REES, T. C. and KOUBA, A.:The thickness of masticatory mucosa in the human hard palate and tuberosity as potential donor sites for ridge augumentation procedures;J. Periodontol.,68:145-151,1997. – reference: 4) ESPOSITO, M., EKESTUBBE, A. and GRONDAHL, K.:Radiological evaluation of marginal bone loss at tooth surfaces facing single Branemark implants;Clin. Oral Implants Res.,4:151-157,1993. – reference: 5) KAN, J. Y., RUNQCHARASSAENG, K., UMEZU, K. and KOIS, J. C.:Dimensions of peri-implant mucosa: an evaluation of maxillary anterior single implants in humans;J. Periodontol.,74:557-562,2003. – reference: 14) 野澤 健, 榎本紘昭, 杉山貴彦, 渡邊文彦：インプラント頰側縁上粘膜の生物学的比率；日口腔インプラント誌, 19：37-38, 2006. – reference: 15) GOASLIND, G. D., ROBERTSON, P. B., MAHAN, C. J., MORRISON, W. W. and OLSON, J. V.:Thickness of facial gingiva;J. Periodontol.,48:768-771,1997. – reference: 2) KOIS, J. C.:Predictable single-tooth peri-implant esthetics:Five diagnostic keys;Compend. Contin. Educ. Dent.,25:895-896,898,900,2004. – reference: 3) SPRAY, J. R., BLACK, C. G., MORRIS, H. F. and OCHI, S.:Influence of bone thickness on facial marginal bone response:Stage 1 placement through stage 2 uncovering;Ann. Periodontol.,5:119-128,2000. – reference: 9) EGER, T., MULLER, H. P. and HELNECLE, A.: Ultrasonic determination of gingival thickness. Subject variation and influence of tooth type and clinical features; J. Clin. Periodontol.,23:839-845,1996. |
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| Title | Morphological Evaluation of Peri-implant Mucosa：Implant Platform Level as a New Reference Plane |
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