Applications of a minimally invasive roll flap technique in peri-implant soft-tissue augmentation – A case series

Autor: Mihir Raghavendra Kulkarni, Anjali Mahesh Chhabariya, Shiphalika Sinha, L. Sahana, Anushtha Jain
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Journal of Indian Society of Periodontology, Vol 28, Iss 2, Pp 258-261 (2024)
Druh dokumentu: article
ISSN: 0972-124X
0975-1580
DOI: 10.4103/jisp.jisp_308_23
Popis: Deficiency of peri-implant tissue contours is commonly seen due to the process of alveolar ridge resorption after tooth loss. Minor deficiencies can be effectively managed by soft-tissue augmentation procedures to create a more biomimetic tissue contour. The minimally invasive roll technique is a modification of the palatal roll-flap technique and can be carried out at both stages of implant surgery. In this technique, the crestal keratinized tissue is marked and de-epithelialized using a circular partial-thickness incision. The crestal connective tissue is then reflected using a lingual full-thickness semi-circular incision, keeping the buccal attachment intact. This buccal attachment serves as the pedicle. The crestal connective tissue is then rolled into a pouch on the buccal aspect of the ridge to obtain soft-tissue augmentation. The present case study documents the clinical results of the minimally invasive roll flap technique (MIRT) in three clinical scenarios, namely single-stage implant surgery, second-stage implant surgery, and anterior esthetic soft-tissue contouring. In all the cases, excellent soft-tissue contour and thickness has been obtained around dental implants. The MIRT is a simple and efficient technique for areas that require minor soft-tissue augmentation. The technique can be used both in the maxilla and the mandible and facilitates a suture-free surgery.
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