Implant-Supported Vertical Soft Tissue Augmentation for Severe Hard and Soft Tissue Deficiencies at Malpositioned Implants: A Case Report of a Mucogingival and Restorative Approach.

Autor: Palombo D, Mascetti T, Zucchelli G, Sanz M
Jazyk: angličtina
Zdroj: The International journal of periodontics & restorative dentistry [Int J Periodontics Restorative Dent] 2024 Sep 06; Vol. 0 (0), pp. 1-24. Date of Electronic Publication: 2024 Sep 06.
DOI: 10.11607/prd.7286
Abstrakt: The management of severe mucogingival deformities surrounding malpositioned implants represents a complex issue with a high risk of aesthetic failure. The present case report describes a mucogingival and restorative approach for the treatment of severe localized peri-implant tissue deficiencies with interproximal bone loss combined with an interproximal gingival recession on the adjacent natural tooth. This consists of maintaining a non-restorable malpositioned implant, submerging it through one or multiple vertical soft tissue augmentations, according to the defect severity, and delivering a tooth supported bridge involving the adjacent natural teeth. The step-by-step surgical technique adopted for implant submergence and vertical soft tissue grafting, as well as the subsequent surgical and prosthetic interventions, are described, presenting results at 5 years from implant submergence and 3 years from prosthetic finalization.
Databáze: MEDLINE