Soft‐Tissue Augmentation During Implant Placement in the Aesthetic Zone: Clinical, Radiographic, Histological and Patient‐Reported Outcomes From a Randomised Controlled Trial Using Connective Tissue Graft and a Volume‐Stable Collagen Matrix
By Louiza Papantonatou, Leonidas Batas, Antigoni Delantoni, Eleutherios Anagnostou, Ioannis Vouros
Originally at onlinelibrary.wiley.com
Summary & scoring by The Bell Brief (Dr. Jennifer Bell) using the Drill-Down Protocol (Drill-Down Score) — not the original publisher.
Why it matters for dental
Implant surgeons and restorative dentists placing anterior implants now have RCT-level evidence that a volume-stable collagen matrix can deliver comparable soft-tissue thickness and patient comfort to an autogenous connective-tissue graft, potentially reducing surgical morbidity and chair time.
Key points
- Single-centre RCT (n = 40) in the aesthetic zone compared connective-tissue graft vs. a volume-stable collagen matrix placed simultaneously with implant surgery.
- Primary outcomes: buccal soft-tissue thickness at 6 months showed no statistical difference between groups; radiographic crestal bone levels and pink-esthetic scores were equivalent.
- Patient-reported outcomes: collagen-matrix group recorded significantly lower post-operative pain (VAS) and analgesic consumption at day 3 and 7.
- Histology at 6 months revealed similar collagen organisation and vascularisation in both groups, supporting the matrix as a viable graft substitute for clinicians who wish to avoid a palatal donor site.
Who should care
Read the original on Journal of Clinical Periodontology
Full reporting and any paywall content live on onlinelibrary.wiley.com. We summarize and score; we do not republish.
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