A Novel Surgical Procedure for Coronally Repositioning of the Buccal Implant Mucosa Using Acellular Dermal Matrix: A Case Report
| Autor: | Santiago Mareque-Bueno |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Adult
medicine.medical_treatment Bleeding on probing Dentistry Biocompatible Materials Surgical Flaps Dental Implants Single-Tooth Incisor Surgical Wound Dehiscence Maxilla medicine Humans Gingival Recession Dental implant Gingival recession Gingivoplasty Wound Healing business.industry Soft tissue Periodontium Treatment Outcome medicine.anatomical_structure Patient Satisfaction Periodontics Female Collagen Implant medicine.symptom business Follow-Up Studies |
| Zdroj: | Journal of Periodontology. 82:151-156 |
| ISSN: | 1943-3670 0022-3492 |
| Popis: | This case report describes a surgical procedure for coronally advancing the peri-implant mucosa to treat a soft tissue dehiscence in a single-tooth implant-supported restoration in combination with an acellular dermal matrix graft.The patient was a 41-year-old systemically healthy, non-smoking female. Her chief complaint pertained to the unesthetic appearance of her right lateral upper incisor, caused by recession of the mucosal margin. On examination, a 3-mm recession could be observed. The periodontium was classified as thin. A 2-mm band of keratinized peri-implant mucosa was present. Keratinized gingiva was approximately 6 mm at adjacent areas. The surgical technique included a novel incision design to coronally position the flap over an acellular dermal matrix graft.Partial coverage of the recession was achieved. After a 6-month period, tissues appeared thicker than preoperatively, with no bleeding on probing and no probing depth2 mm. The patient was satisfied with the overall treatment result.This case report shows the possibility of achieving partial soft tissue coverage over an implant-supported restoration with the combined use of an acellular dermal matrix and a coronally positioned flap. A novel technique is presented that allowed advancing the flap over the graft in a single-tooth restoration where enough keratinized tissue was present preoperatively. |
| Databáze: | OpenAIRE |
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