Simultaneous placement of an interpositional free gingival graft with nonsubmerged implant placement
Journal of Periodontal & Implant Science
; : 94-99, 2014.
Article
in En
| WPRIM
| ID: wpr-66590
Responsible library:
WPRO
ABSTRACT
PURPOSE:
Various surgical techniques target achieving adequate keratinized tissue around dental implants; however, these techniques are usually performed before implant placement or upon the exposure of submerged implants. The aim of this case report is to describe a simultaneous placement of an interpositional free gingival graft (iFGG) with that of nonsubmerged implants in a patient lacking keratinized tissue and to assess the long-term outcome of this grafted gingiva.METHODS:
A wedge-shaped free gingnival graft (FGG), including an epithelium-connective tissue (E-C) portion and a connective-tissue-only (CT) portion, was harvested from the palate. The CT portion was inserted under the buccal flap, and the E-C portion was secured tightly around the implants and to the lingual flap.RESULTS:
At the 8-year follow-up, the gingival graft remained firmly attached and was well maintained, with no conspicuous shrinkage or reported discomfort during oral hygiene procedures. The use of an iFGG at a nonsubmerged implant placement minimizes the required number of surgical steps and patient discomfort while providing adequate buccal keratinized tissue.CONCLUSIONS:
Therefore, the technique could be considered an alternative method in increasing the keratinized tissue for cases that have a minimal amount of keratinized tissue.Key words
Full text:
1
Database:
WPRIM
Main subject:
Oral Hygiene
/
Palate
/
Dental Implants
/
Follow-Up Studies
/
Transplants
/
Gingiva
Type of study:
Observational_studies
/
Prognostic_studies
Limits:
Humans
Language:
En
Journal:
Journal of Periodontal & Implant Science
Year:
2014
Document type:
Article