title: Periimplant changes in different transplanted soft tissues around loaded endosseous implants in patients after oral tumor surgery.
abstract: OBJECTIVE
  To examine periimplant reaction of transplanted soft tissues foreign to oral cavity when compared with local gingiva.
  
  
  METHODS
  In 58 oral cancer patients, 210 dental implants were inserted mainly in the mandible after radical surgery and reconstruction. Ninety-six implants penetrated transplants (split skin, mucosal, platysma, pectoralis major, and intestinal) and were compared with 114 implants penetrating local gingiva. Prosthetic treatment consisted of telescopic or bar-retained overdentures or (in case of intestinal grafts) implant-supported fixed prostheses. Follow-up lasted between 30 and 60 months. Plaque index, sulcus bleeding index, pocket probing depth, and width of vestibular-/oral attached mucosa were measured.
  
  
  RESULTS
  Plaque index (before second year; P < 0.01) and pocket probing depth (after first year; P < 0.02-0.04) displayed significant differences with disadvantage for split skin grafts. Sulcus bleeding did not exceed index 1. Attached mucosa had no significant effect on periimplant health.
  
  
  CONCLUSIONS
  Transplanted extraoral tissues behaved similarly when compared with local gingiva, showing no detrimental effect on periimplant health in oral cancer patients. Split skin and mucosal grafts had worst performance.
authors.affiliation: *Associate Professor, Goethe-University Frankfurt, Frankfurt am Main, Germany; Private Practice, Nauheim, Germany. †Private Practice, Backnang, Germany. ‡Services-in-Statistics, Würzburg, Germany. §Private Practice, Griesheim, Germany.
authors.forename: Adorján F
authors.initials: AF
authors.lastname: Kovács
authors.forename: Phillip
authors.initials: P
authors.lastname: Wallowy
authors.forename: Ulrich
authors.initials: U
authors.lastname: Stefenelli
authors.forename: Stephan
authors.initials: S
authors.lastname: Landau
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003758:Dental Implantation, Endosseous / Q000009:adverse effects* / Q000379:methods; D015921:Dental Implants / Q000009:adverse effects; D005260:Female; D005881:Gingiva / Q000473:pathology* / Q000637:transplantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D009062:Mouth Neoplasms / Q000601:surgery*; D055815:Young Adult
chemical_list: D015921:Dental Implants