title: Papillae alterations around single-implant restorations in the anterior maxillae: thick versus thin mucosa.
abstract: To evaluate the papilla alterations around single-implant restorations in the anterior maxillae after crown attachment and to study the influence of soft tissue thickness on the papilla fill alteration. According to the inclusion criteria, 32 patients subjected to implant-supported single-tooth restorations in anterior maxillae were included. The patients were assigned to two groups according to the mucosal thickness: (i) group 1, 1.5 mm s mucosal thickness 3 mm; and (ii) group 2, 3 mm<mucosal thickness 4.5 mm.Assessments of interproximal papillae at the time of crown placement (baseline) and at 6-month post loading (follow-up) were made by two prosthodontists using papilla fill index (PFI). The mean mucosal thickness was (2.49±_0.31) mm (group 1) and (3.81±_0.31) mm(group 2) for the two groups respectively. A significant difference in PFI between the groups was detected at the baseline (P<0.001).PFI improvements over time occurred after 6-month follow-up irrespective of the groups. When compared to group 1, the likelihood to obtain papilla fill was significantly higher for group 2 with an odds ratio of 6.05 (P<0.001). The interproximal papilla level around single-implant restorations could improve significantly over time after 6-month restoration according to PFI assessment. The thicker mucosa before implant placement implied a more favorable esthetic outcome in papilla alteration.
authors.affiliation: Department of Oral and Maxillofacial Implantology, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
authors.forename: Mi-Si
authors.initials: MS
authors.lastname: Si
authors.forename: Long-Fei
authors.initials: LF
authors.lastname: Zhuang
authors.forename: Xin
authors.initials: X
authors.lastname: Huang
authors.forename: Ying-Xin
authors.initials: YX
authors.lastname: Gu
authors.forename: Chung-Hao
authors.initials: CH
authors.lastname: Chou
authors.forename: Hong-Chang
authors.initials: HC
authors.lastname: Lai
mesh_terms: D000328:Adult; D003442:Crowns; D003758:Dental Implantation, Endosseous / Q000379:methods; D019250:Dental Implants, Single-Tooth; D017267:Dental Prosthesis Design; D019094:Dental Prosthesis, Implant-Supported; D004955:Esthetics, Dental; D005260:Female; D005500:Follow-Up Studies; D005881:Gingiva / Q000033:anatomy & histology*; D006801:Humans; D008297:Male; D008437:Maxilla; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D011446:Prospective Studies; D019237:Tooth Cervix / Q000033:anatomy & histology; D055815:Young Adult