REVIEW PAPER
The influence of implant-prosthetic components on the formation
of biological width and its significance for the long-term stability
of peri-Implant tissues: a literature review
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Katedra i Zakład Protetyki Stomatologicznej, Warszawski Uniwersytet Medyczny
Department of Prosthetic Dentistry, Medical University of Warsaw
Acceptance date: 2025-09-09
Publication date: 2025-09-16
Prosthodontics 2025;75(3):225-234
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ABSTRACT
Biological width refers to the combined
apico-coronal dimension of the junctional
epithelium and the supracrestal connective tissue
attachment. It represents the vertical dimension
of soft tissues adhering to the surface of a tooth
or implant, forming a physiological protective
barrier against the oral environment. The
preservation of this structure plays a crucial role
in the long-term stability of peri-implant tissues
and the success of implant-supported prosthetic
treatment. The aim of this article is to discuss
the structure and function of biological width
around dental implants, highlighting its role
in protecting the crestal bone, maintaining soft
tissue integrity, and presenting the factors that
influence its formation and preservation, such as
implant placement depth, prosthetic design, and
soft tissue morphology.
This review is based on an analysis of articles
retrieved from major biomedical databases
(PubMed, Scopus, Medline, and Web of Science).
A total of 76 publications were identified using
keywords such as biological width, dental
implants, peri-implant soft tissues, healing
abutments, submucosal components, abutment
polishing, peri-implantitis, and abutment design.
Of these, 40 articles were selected for in-depth
qualitative evaluation.