SynthesisEvidence-based dentistry2025
The influence of the gingival phenotype on implant survival rate and clinical parameters: a systematic review.
Synthesis in Evidence-based dentistry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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The trial behind it
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Who cites it
14 citing papers in PubMed.
- Determinants of keratinized mucosa dimensional changes after apically positioned flap surgery around dental implants.Journal of the Korean Association of Oral and Maxillofacial Surgeons · 2026Article
- Clinical and Esthetic Outcomes of Vestibular Socket Therapy: A Systematic Review and Meta-Analysis.Dentistry journal · 2026Review
- Mechanical Fatigue of Titanium Dental Implants After Implantoplasty: An In Vitro Study Combined with Finite Element Simulations.Journal of functional biomaterials · 2026Article
- Evaluation of gingival biotype and bone thickness in maxillary implant patients: A clinical study based on cone-beam computed tomography.Journal of advanced periodontology & implant dentistry · 2026Article
- Tension-Dominant Orthodontic Loading and Buccal Periodontal Phenotype Preservation: An Integrative Mechanobiological Model Supported by FEM and a Proof-of-Concept CBCT.Journal of functional biomaterials · 2026Article
- Comparative evaluation of thick and thin gingiva for dental implant loading.Bioinformation · 2026Article
- Apical Positioned Flap with a Combination of Mucograft and Fibro-Gide for Augmenting Keratinized Gingiva with Thin Gingival Phenotype: A Case Report.European journal of dentistry · 2025Article
- Utilization of Buccal Free Gingival Graft to Restore the Peri-Implant Soft Tissue Texture and Color Match in the Esthetic Zone: A Case Report With 3 Years Follow-Up.Clinical case reports · 2025Article
- Pink esthetic treatment of gingival recession, black triangle, and gummy smile: a narrative review.Maxillofacial plastic and reconstructive surgery · 2025Review
- Soft Tissue Graft Placement Using a Porcine Acellular Dermal Matrix (PADM) and Resorbable Magnesium Fixation Screws: A Case Series.Medicina (Kaunas, Lithuania) · 2025Article
- The Novel iMPACT Tool and Quadrant Protocol for Peri-Implantitis: Surface Refinement and Re-Osseointegration Validated by SEM/EDS and Long-Term Clinical Case Reports.Medicina (Kaunas, Lithuania) · 2025Article
- Comparative Evaluation of Selected Methods for Assessing Gingival Phenotype.Journal of clinical medicine · 2025Article
- Influence of Prosthetic Emergence Profile on Peri-Implant Marginal Bone Stability: A Comprehensive Review.Medicina (Kaunas, Lithuania) · 2025Review
- The Influence of Implant Surface Modification on Marginal Bone Loss and Periodontal Health: A Cross-Over Randomized Clinical Trial.International journal of dentistry · 2025Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe goal of this systematic review was to verify whether the gingival phenotype (thick or thin) could impact the dental implant survival rate by affecting the marginal bone.
methodsThe search was carried out on PubMed/MedLine, PubMed Central, and B-On databases. The research question was: "Does gingival phenotype positively or negatively influence marginal bone loss around dental implants?" The inclusion criteria were: any clinical trial/study, comparative study, prospective or retrospective articles, systematic review that addressed at least a 1-year follow-up with an assessment of the marginal bone loss (MBL) around dental implants, articles that reported the gingival phenotype (thin or thick) and were published in the last 13 years. The exclusion criteria were narrative or other reviews, letters to the editor, and commentaries. Data extraction included the author's name, year of publication, type of study, sample size, number of implants, method used, and outcomes presented. The extracted data was summarized and presented in the results section. Critical Appraisal tool in JBI Systematic Reviews was used to determine the possibility of bias.
resultsA total of 62 articles were found, but eight articles were relevant to compose this study. After deep evaluation, it was possible to observe the implant success rate for both gingival phenotypes, thin and thick, was greater than 91% within a follow-up of up to 5 years. Therefore, it is unclear whether the thickness of the gingival tissue surrounding the implant can directly influence the marginal bone level. The gingival phenotype may be indirectly involved in the survival rate of dental implants, as it can be a risk factor for peri-implantitis, leading to marginal bone loss beyond what is expected. DISCUSSION: The thin gingival phenotype is one of the main risk factors for additional bone loss. It is crucial to know how to preserve the healthy condition.
conclusionWithin the results found, the gingival phenotype is indirectly related to implant survival rate and clinical parameters, which were respectively high and non-conclusive. Therefore, a higher risk of peri-implantitis is suggested when a thin phenotype is present.
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