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Influence of tissue biotype in the morpho-esthetic-functional behavior of the peri-implant tissue: A literature review

Ordener Miranda Martins de Souza; Jamille Freitas de Andrade Neri; Ludmila Topázio; Rafaela Carneiro Donadone; André Carlos de Freitas; Maurício Andrade Barreto

Introduction: The current focus of Implantology is the planning of a rehab contemplating, besides the function, the esthetical success. The expectation is to create an esthetic restoration that is indistinguishable from the natural tooth, as well as returning the contour of peripheral structures (peri-implant mucosa and papilla) that resemble the same contralateral structures. It is a field of multiple variables in which the identification of tissue biotype is a factor that competes for the achievement of such success. Objective: The purpose of this present work was to review the influence of gingival biotype on morpho-functional and esthetic behavior of peri-implant tissues, indicating protocols of diagnosis and management of these tissues. It was used as source of research the data base of PubMed, selecting articles published from March 2008 to June 2011. Conclusion: Within the limits of this review, it was possible to conclude that tissue biotype has influence on the esthetic in the therapy with implants, specially on the facial peri-implant mucosa levels; presenting the thin biotype greater susceptibility to recession. In this condition, the conversion of a thin biotype into a thick biotype, through grafting of conjunctive tissue seems to positively influence on the level of facial marginal mucosa. On the other hand, the tissue biotype showed little influence on the height of the interproximal papilla.

Keywords: Dental implant. Biotypology. Periodontics.

How to cite: Souza OMM, Neri JFA, Topázio L, Donadone RC, Freitas AC, Barreto MA. Influence of tissue biotype in the morpho-esthetic-functional behavior of the peri-implant tissue: A literature review. Dental Press Implantol. 2012 Apr-June;6(2):56-66.

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