One of the factors in maintaining the health of implants is insuring that there is an adequate zone of keratinized tissue around the implant. Failure to have or establish an adequate zone of keratinized tissue may compromise the health and longevity of the implant and may increase the chances of peri-implantitis. Regarding terminology, are the terms keratinized mucosa and attached gingiva synonymous? I thought keratinized mucosa includes marginal gingiva and free gingiva while attached gingiva is area apical to that. Is that right? What is the most appropriate terminology to describe the zone of keratinized tissue around the implant? When is the best time to augment the zone of keratinized tissue, before or after implant installation?
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