Abstract

BackgroundDental implants are susceptible to biological complications that affect the peri‑implant tissues. The role of the soft tissues compartment in promoting and maintaining peri‑implant health is still controversial in the literature, especially in terms of the amount/thickness of keratinized mucosa presence. PurposeTo discuss the complexities of surgical treatment of peri‑implantitis when it simultaneously presents with soft tissues deficiencies. ResultThe available data supported that the presence of keratinized mucosa promotes peri‑implant health in the long term, as it favors soft tissues stability over time with less brushing discomfort reported. In the presence of peri‑implantitis associated with soft tissue deficiency, surgical peri‑implant therapy alone was not able to correct the soft tissues compartment, thus, a combined approach with peri‑implant plastic surgery is strongly advised. ConclusionPeri-implant soft-tissue augmentation in peri‑implantitis treatment procedures may be helpful to guarantee long-term biological, aesthetic, and functional outcomes.

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