Aumento de tejido gingival queratinizado alrededor de implantes dentales con matriz de colágeno porcino. Reporte de caso
Palabras clave:
Matriz de colágeno porcino, Implantes dentales, Vestibuloplastia
Resumen
Dentro de la literatura periodontal se ha reconocido la importancia del tejido queratinizado alrededor de los implantes dentales, así como la mejoría de los vestíbulos bucales poco profundos para permitir la rehabilitación protésica del paciente. Para superar las deficiencias de un vestíbulo corto y del tejido blando periimplantario se ha descrito el uso de una matriz de colágeno porcino en conjunto con la vestibuloplastía como una alternativa segura, estética y funcional, otorgando al clínico y al paciente resultados predecibles y similares comparados con los ofrecidos por el tejido conectivo o el injerto gingival libre. El objetivo del presente reporte es demostrar a través de un caso clínico, el uso de la matriz de colágeno porcino en un paciente sometido a una vestibuloplastía del sector anteroinferior y el aumento de encía queratinizada alrededor de dos implantes inferiores.
Referencias
1. Ravidà A, Saleh I, Siqueira R, Garaicoa-Pazmiño C, Saleh MHA, Monje A, Wang HL. Influence of keratinized mucosa on the surgical therapeutical outcomes of peri-implantitis. J Clin Periodontol. 2020;47(4):529-539. DOI: https://doi.org/10.1111/jcpe.13250
2. Schmitt C, Moest T, Lutz R, Wehrhan F, Neukam F, Schlegel K. Long-term outcomes after vestibuloplasty with a porcine collagen matrix (Mucograft®) versus the free gingival graft: a comparative prospective clinical trial. Clinical Oral Implants Research. 2015;27(11):e125-e133. DOI: https://doi.org/10.1111/clr.12575
3. Ivanova V, Chenchev I, Gavrailov T. Clinical comparison of three methods for vestibuloplasty in the anterior part of the mandibule. Journal of IMAB - Annual Proceeding (Scientific Papers). 2018;24(4):2223-2227. DOI: https://doi.org/10.5272/jimab.2018244.2223
4. John, B. Preprosthetic Surgery. In: Bonanthaya, K., Panneerselvam, E., Manuel, S., Kumar, V.V., Rai, A. (eds) Oral and Maxillofacial Surgery for the Clinician. Springer, Singapore. 2021.pp 361–381. https://doi.org/10.1007/978-981-15-1346-6_17
5. Berglundh T, Armitage G, Araujo MG, Avila-Ortiz G, Blanco J, Camargo PM, et al. Periimplant diseases and conditions: Consensus report of workgroup 4 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Clin Periodontol.2018;45(Suplemento 20):S286–S291 DOI: https://doi.org/10.1111/jcpe.12957
6. Puišys A, Jonaitis A, Vindašiūtė E, Žukauskas S, Linkevičius T. The use of a porcine-derived collagen matrix for vertical soft tissue augmentation. A case report. Stomatologija. 2019;21(4):125-128.
7. Toledano M, Toledano-Osorio M, Carrasco-Carmona Á, Vallecillo C, Lynch CD, Osorio MT, Osorio R. State of the Art on Biomaterials for Soft Tissue Augmentation in the Oral Cavity. Part I: Natural Polymers-Based Biomaterials. Polymers (Basel). 2020;12(8):1850. DOI: https://doi.org/10.3390/polym12081850
8. Schmitt C, Tudor C, Kiener K, Wehrhan F, Schmitt J, Eitner S et al. Vestibuloplasty: Porcine Collagen Matrix Versus Free Gingival Graft: A Clinical and Histologic Study. Journal of Periodontology. 2013;84(7):914-923. DOI: https://doi.org/10.1902/jop.2012.120084
9. Maiorana C, Pivetti L, Signorino F, Grossi G, Herford A, Beretta M. The efficacy of a porcine collagen matrix in keratinized tissue augmentation: a 5-year follow-up study. International Journal of Implant Dentistry. 2018;4(1). DOI: https://doi.org/10.1186/s40729-017-0113-3
10. Lorenzo R, García V, Orsini M, Martin C, Sanz M. Clinical efficacy of a xenogeneic collagen matrix in augmenting keratinized mucosa around implants: a randomized controlled prospective clinical trial. Clin Oral Implants Res. 2012 Mar;23(3):316-24. DOI: https://doi.org/10.1111/j.1600-0501.2011.02260.x
11. Sanz M, Lorenzo R, Aranda J, Martin C, Orsini M. Clinical evaluation of a newcollagen matrix (Mucograft®prototype) to enhance the width of keratinized tissue in patients with fixed prosthetic restorations: a randomized prospective clinical trial. Journal of Clinical Periodontology. 2009;36(10):868-876. DOI: https://doi.org/10.1111/j.1600-051X.2009.01460.x
12. Froum S, Khouly I, Tarnow D, Froum S, Rosenberg E, Corby P et al. The Use of a Xenogeneic Collagen Matrix at the Time of Implant Placement to Increase the Volume of Buccal Soft Tissue. The International Journal of Periodontics and Restorative Dentistry. 2015;35(2):179-189. DOI: https://doi.org/10.11607/prd.2226
13. Lee IK, Choi HS, Jeong SH, Lee JT. The Effect of Three Surgical Therapies to Increase Keratinized Mucosa Surrounding Dental Implants with Peri-Implantitis: A Pilot Study. Medicina (Kaunas). 2021;57(10):1093. DOI: https://doi.org/10.3390/medicina57101093
14. Schrott A, Jimenez M, Hwang J, Fiorellini J, Weber H. Five-year evaluation of the influence of keratinized mucosa on peri-implant soft-tissue health and stability around implants supporting full-arch mandibular fixed prostheses. Clinical Oral Implants Research. 2009;20(10):1170-1177. DOI: https://doi.org/10.1111/j.1600-0501.2009.01795.x
15. Brito C, Tenenbaum H, Wong B, Schmitt C, Nogueira-Filho G. Is keratinized mucosa indispensable to maintain peri-implant health? A systematic review of the literature. Journal of Biomedical Materials Research Part B: Applied Biomaterials. 2013;102(3):643-650. DOI: https://doi.org/10.1002/jbm.b.33042
2. Schmitt C, Moest T, Lutz R, Wehrhan F, Neukam F, Schlegel K. Long-term outcomes after vestibuloplasty with a porcine collagen matrix (Mucograft®) versus the free gingival graft: a comparative prospective clinical trial. Clinical Oral Implants Research. 2015;27(11):e125-e133. DOI: https://doi.org/10.1111/clr.12575
3. Ivanova V, Chenchev I, Gavrailov T. Clinical comparison of three methods for vestibuloplasty in the anterior part of the mandibule. Journal of IMAB - Annual Proceeding (Scientific Papers). 2018;24(4):2223-2227. DOI: https://doi.org/10.5272/jimab.2018244.2223
4. John, B. Preprosthetic Surgery. In: Bonanthaya, K., Panneerselvam, E., Manuel, S., Kumar, V.V., Rai, A. (eds) Oral and Maxillofacial Surgery for the Clinician. Springer, Singapore. 2021.pp 361–381. https://doi.org/10.1007/978-981-15-1346-6_17
5. Berglundh T, Armitage G, Araujo MG, Avila-Ortiz G, Blanco J, Camargo PM, et al. Periimplant diseases and conditions: Consensus report of workgroup 4 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Clin Periodontol.2018;45(Suplemento 20):S286–S291 DOI: https://doi.org/10.1111/jcpe.12957
6. Puišys A, Jonaitis A, Vindašiūtė E, Žukauskas S, Linkevičius T. The use of a porcine-derived collagen matrix for vertical soft tissue augmentation. A case report. Stomatologija. 2019;21(4):125-128.
7. Toledano M, Toledano-Osorio M, Carrasco-Carmona Á, Vallecillo C, Lynch CD, Osorio MT, Osorio R. State of the Art on Biomaterials for Soft Tissue Augmentation in the Oral Cavity. Part I: Natural Polymers-Based Biomaterials. Polymers (Basel). 2020;12(8):1850. DOI: https://doi.org/10.3390/polym12081850
8. Schmitt C, Tudor C, Kiener K, Wehrhan F, Schmitt J, Eitner S et al. Vestibuloplasty: Porcine Collagen Matrix Versus Free Gingival Graft: A Clinical and Histologic Study. Journal of Periodontology. 2013;84(7):914-923. DOI: https://doi.org/10.1902/jop.2012.120084
9. Maiorana C, Pivetti L, Signorino F, Grossi G, Herford A, Beretta M. The efficacy of a porcine collagen matrix in keratinized tissue augmentation: a 5-year follow-up study. International Journal of Implant Dentistry. 2018;4(1). DOI: https://doi.org/10.1186/s40729-017-0113-3
10. Lorenzo R, García V, Orsini M, Martin C, Sanz M. Clinical efficacy of a xenogeneic collagen matrix in augmenting keratinized mucosa around implants: a randomized controlled prospective clinical trial. Clin Oral Implants Res. 2012 Mar;23(3):316-24. DOI: https://doi.org/10.1111/j.1600-0501.2011.02260.x
11. Sanz M, Lorenzo R, Aranda J, Martin C, Orsini M. Clinical evaluation of a newcollagen matrix (Mucograft®prototype) to enhance the width of keratinized tissue in patients with fixed prosthetic restorations: a randomized prospective clinical trial. Journal of Clinical Periodontology. 2009;36(10):868-876. DOI: https://doi.org/10.1111/j.1600-051X.2009.01460.x
12. Froum S, Khouly I, Tarnow D, Froum S, Rosenberg E, Corby P et al. The Use of a Xenogeneic Collagen Matrix at the Time of Implant Placement to Increase the Volume of Buccal Soft Tissue. The International Journal of Periodontics and Restorative Dentistry. 2015;35(2):179-189. DOI: https://doi.org/10.11607/prd.2226
13. Lee IK, Choi HS, Jeong SH, Lee JT. The Effect of Three Surgical Therapies to Increase Keratinized Mucosa Surrounding Dental Implants with Peri-Implantitis: A Pilot Study. Medicina (Kaunas). 2021;57(10):1093. DOI: https://doi.org/10.3390/medicina57101093
14. Schrott A, Jimenez M, Hwang J, Fiorellini J, Weber H. Five-year evaluation of the influence of keratinized mucosa on peri-implant soft-tissue health and stability around implants supporting full-arch mandibular fixed prostheses. Clinical Oral Implants Research. 2009;20(10):1170-1177. DOI: https://doi.org/10.1111/j.1600-0501.2009.01795.x
15. Brito C, Tenenbaum H, Wong B, Schmitt C, Nogueira-Filho G. Is keratinized mucosa indispensable to maintain peri-implant health? A systematic review of the literature. Journal of Biomedical Materials Research Part B: Applied Biomaterials. 2013;102(3):643-650. DOI: https://doi.org/10.1002/jbm.b.33042
Publicado
2023-01-16
Cómo citar
Coutiño Cerda, X., Martínez Gutiérrez, D., & Harris Ricardo, J. (2023). Aumento de tejido gingival queratinizado alrededor de implantes dentales con matriz de colágeno porcino. Reporte de caso. Ustasalud, 22(1), 50-54. https://doi.org/https://doi.org/10.15332/us.v22i1.2849
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