A retrospective comparison of 3 approaches of vestibuloplasty around mandibular molar implants: apically positioned flap versus free gingival graft versus modified periosteal fenestration.
J Periodontal Implant Sci
; 51(5): 364-372, 2021 Oct.
Article
em En
| MEDLINE
| ID: mdl-34713997
ABSTRACT
PURPOSE:
This study aimed to clinically evaluate the efficacy of vestibuloplasty around lower molar implants using 3 different modalities apically positioned flap alone (APF), APF with a free gingival graft (FGG), and APF with modified periosteal fenestration (mPF).METHODS:
Three different vestibuloplasty procedures during second-stage implant surgery were performed at the mandibular molar area in 61 patients with a shallow vestibule and insufficient keratinized tissue (KT). The clinical measurements of KT width were recorded at baseline, immediately after surgery (T0), 6 months after surgery (T6), and 12 months after surgery (T12). Soft tissue esthetic scores were measured.RESULTS:
An additional KT width gain from baseline to T12 of approximately 2 mm was obtained with FGG and mPF compared to that with APF. Shrinkage of the re-established tissue was lower with mPF and FGG than with APF, whereas the esthetic profile was better with APF and mPF than with FGG.CONCLUSIONS:
Within the limitations of this study, mPF showed potential as a promising approach for vestibuloplasty around the lower molar implants compared to the traditional APF and FGG.
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Bases de dados:
MEDLINE
Idioma:
En
Revista:
J Periodontal Implant Sci
Ano de publicação:
2021
Tipo de documento:
Article