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Frontiers in Medical and Clinical Sciences

Open Access Peer Review International
Open Access

Advanced Soft Tissue Augmentation Approaches For Enhancing Peri-Implant Keratinized Mucosa: A Systematic Review And Evidence-Based Analysis

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Dr. Haruki Nakamura 1 Dr. Yui Takahashi 1
4 Department of Biomedical Sciences, Sakura Medical Research Institute, Tokyo, Japan
4 Department of Clinical and Translational Research, Kyoto Advanced Health Sciences Center, Kyoto, Japan

Abstract

The maintenance of peri-implant soft tissue health represents a critical determinant of long-term dental implant success. Among the various biological parameters influencing peri-implant stability, the presence and width of keratinized mucosa have emerged as important factors affecting plaque control, patient comfort, tissue stability, and resistance to inflammatory complications. Despite increasing clinical interest, controversy remains regarding the minimum keratinized tissue width required for optimal implant performance and the most effective augmentation techniques for achieving sustainable outcomes.

This systematic review critically evaluates contemporary soft tissue augmentation approaches aimed at increasing peri-implant keratinized mucosa. Evidence from clinical trials, systematic reviews, consensus reports, and longitudinal investigations was synthesized to assess the effectiveness of free gingival grafts, connective tissue grafts, and related augmentation procedures. The review further examines the biological significance of keratinized mucosa, factors influencing peri-implant tissue stability, and the impact of augmentation interventions on clinical outcomes.

The findings indicate that adequate keratinized mucosa contributes positively to plaque control, reduction of brushing discomfort, maintenance of peri-implant soft tissue stability, and prevention of peri-implant disease progression. Free gingival grafts remain the most predictable approach for increasing keratinized tissue width, while emerging soft tissue augmentation techniques demonstrate promising outcomes. Evidence further suggests that augmentation procedures can improve long-term peri-implant tissue health when appropriately integrated into implant treatment protocols.

This review highlights the necessity of individualized treatment planning, evidence-based surgical decision-making, and continued research aimed at optimizing peri-implant soft tissue management strategies.

How to Cite

Nakamura, D. H., & Takahashi, D. Y. (2026). Advanced Soft Tissue Augmentation Approaches For Enhancing Peri-Implant Keratinized Mucosa: A Systematic Review And Evidence-Based Analysis. Frontiers in Medical and Clinical Sciences, 3(06), 01–28. Retrieved from https://irjernet.com/index.php/fmcs/article/view/429
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