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The peri-implant mucosa color: A systematic appraisal of methods for its assessment and clinical significance

Mancini, Leonardo; Barootchi, Shayan; Thoma, Daniel S; Jung, Ronald E; Gallucci, German O; Wang, Hom-Lay; Tavelli, Lorenzo (2023). The peri-implant mucosa color: A systematic appraisal of methods for its assessment and clinical significance. Clinical Implant Dentistry and Related Research, 25(2):224-240.

Abstract

BACKGROUND: Peri-implant mucosa color (PMC) seems to be one of the main parameters affecting the esthetic outcome of implant therapy. However, more emphasis should be given to its assessment and reporting.
PURPOSE: To describe the available evidence on methods to assess and report the color of the peri-implant mucosa (PMC) and the respective clinical relevance.
MATERIAL AND METHODS: A comprehensive electronic and manual search was performed to identify clinical studies reporting on PMC.
RESULTS: A total of 121 studies were included. PMC was evaluated at the time of the follow-up visit (chairside) in 45.5% studies. PMC assessment was performed qualitatively, by comparing PMC with adjacent and/or contralateral gingiva (78.6%) or quantitatively, using spectrophotometry (20.7%) or a software on clinical photographs (0.8%). The most performed method to assess PMC was through esthetic indices (76.9%), either at the time of the follow-up visit (chairside) or at later time point using photographs. Quantitative reporting of PMC included averages of points from esthetic indices or color differences to natural gingiva expressed with the CIELAB color system. PMC assessment allowed describing color discrepancies compared to natural gingiva, evaluating color changes over time, and comparing the outcomes of different treatment modalities. PMC assessment through spectrophotometry was additionally utilized to assess the role of mucosal thickness (MT) on PMC.
CONCLUSIONS: Various methods for PMC assessment and reporting were described, including visual assessment, mainly through esthetic indices, and spectrophotometry. PMC evaluation has allowed to demonstrate the factors affecting the color of the peri-implant soft tissue, such as the type of abutment/restoration, MT, and soft tissue augmentation.

Additional indexing

Item Type:Journal Article, refereed, further contribution
Communities & Collections:04 Faculty of Medicine > Center for Dental Medicine > Clinic of Reconstructive Dentistry
Dewey Decimal Classification:610 Medicine & health
Scopus Subject Areas:Health Sciences > Oral Surgery
Health Sciences > General Dentistry
Language:English
Date:1 April 2023
Deposited On:13 Nov 2023 12:29
Last Modified:30 Oct 2024 02:37
Publisher:Wiley-Blackwell Publishing, Inc.
ISSN:1523-0899
OA Status:Closed
Publisher DOI:https://doi.org/10.1111/cid.13180
PubMed ID:36646440

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