مجله دانشکده دندان‌پزشکی اصفهان
روش‌های جایگزین پیوند بافت نرم اطراف ایمپلنت‌های دندانی- مروری بر مقالات
نوع مقاله : مقاله مروری
چکیده
مقدمه: پیوند بافت نرم برای اهداف متعددی همراه با ایمپلنت به کار می‌رود. تکنیک‌های پیوند بافت نرم اتوژن، نتایج قابل قبولی را نشان داده‌اند. با این حال این تکنیک‌ها باعث افزایش طول مدت جراحی و عوارض بعد از آن می‌شوند. بافت‌های آلوژنیک و زنوژنیک مزایایی نسبت به پیوندهای اتوژن دارند. مطالعات متعددی نتایج درمانی موفقی را با ماتریکس پوستی بدون سلول ADM (Acellular dermal mat) به عنوان جایگزین بافت نرم اتوژن برای درمان نقایص موکوجینجیوال در ایمپلنت‌های دندانی را گزارش کرده‌اند. هدف از این مطالعه، مروری بر تکنیک‌های مختلف پیوند بافت نرم اطراف ایمپلنت‌های دندانی بود.
مواد و روش‌ها: این مطالعه‌ی مروری بر مبنای جستجو در پایگاه‌های اطلاعاتی PubMed، Scopus، Cochrane و Web of Science تا ژانویه 2020 با استفاده از کلید واژه‌های «آگمنتاسیون بافت نرم، ایمپلنت دندانی، لثه‌ی کراتینیزه و ماتریکس پوستی بدون سلول» انجام شده است.
یافته‌ها: استاندارد طلایی افزایش ضخامت بافت نرم اطراف ایمپلنت‌های دندانی، استفاده از پیوند بافت همبند اتوژن می‌باشد. استفاده از مواد آلوژنیک به عنوان جایگزین برای این بافت‌ها با مزایایی همراه است.
نتیجه‌گیری: ماتریکس پوستی بدون سلول، جایگزین مناسبی برای پیوند بافت همبند اتوژن جهت افزایش ضخامت و عرض بافت کراتینیزه‌ی اطراف ایمپلنت‌های دندانی می‌باشد.
کلید واژه‌ها: ایمپلنت دندانی، پیوند بافت، لثه، آلودرم
عنوان مقاله [English]
Alternative Methods for Soft Tissue Grafts around Dental Implants: A Literature Review
چکیده [English]
Introduction: Soft tissue grafts are used around dental implants for different purposes. Autogenous soft tissue graft techniques have yielded favorable results. However, these techniques increase the duration of surgery and postoperative complications. Allogeneic and xenogeneic tissues have advantages over autogenous grafts. Numerous studies have reported successful treatment outcomes with acellular dermal matrix (ADM) as an alternative to autogenous soft tissue for treating mucogingival defects around dental implants. This study aimed to review various soft tissue techniques around dental implants.
Materials and Methods: In this systematic review, a search was run in four databases, including PubMed, Scopus, Web of Science, and Cochrane until January 2020 with these key words: soft tissue augmentation, dental implants, keratinized gingiva and acellular dermal matrix.
Results: Autogenous connective tissue graft is the gold standard technique for increasing the thickness of soft tissue around dental implants. The use of allogeneic materials as an alternative to these tissues is associated with some advantages.
Conclusion: ADM is a suitable alternative for autogenous connective tissue grafts to increase the thickness and width of keratinized tissue around dental implants.
Keywords: Alloderm, Dental implant, Gingiva, Tissue graft
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