Keratinized gingiva around dental implants plays a crucial role in the long-term prognosis of these treatments. Below is a detailed explanation of its importance:
1. Stability of Soft Tissues
Keratinized gingiva helps maintain the stability of peri-implant soft tissues. Its presence around implants reduces the risk of gingival recession and implant surface exposure, protecting critical areas from inflammation and mechanical damage.
2. Peri-Implant Health
Keratinized gingiva creates a more resistant barrier against bacterial aggression, reducing the likelihood of peri-implantitis. The absence of keratinized gingiva can predispose to plaque accumulation and chronic inflammation, affecting osseointegration and long-term implant stability.
3. Ease of Hygiene
Patients with sufficient keratinized gingiva find it easier to maintain proper oral hygiene around implants. This is because keratinized gingiva is less prone to irritation and trauma, allowing for effective cleaning without significant discomfort.
4. Aesthetics
Keratinized gingiva also contributes to maintaining proper aesthetics. The stability of the peri-implant soft tissues promotes a harmonious gingival contour and prevents gingival recessions that could compromise aesthetics.
5. Impact on Pain and Comfort
The absence of keratinized gingiva can increase sensitivity or pain in the implant area, especially during brushing or chewing. This can lead to a decrease in the patient’s quality of life in the long term and affect their adherence to oral hygiene practices.
Conclusion
The presence of sufficient keratinized gingiva around dental implants is essential to ensure peri-implant health, soft tissue stability, better hygiene, proper aesthetics, and increased patient comfort. Therefore, evaluating and, if necessary, correcting the amount of keratinized gingiva around implants should be a key factor in implant treatment planning.
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