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Published on: January 12, 2019
Exposure of implants using a modified multiple-flap transposition vestibuloplasty
S G Hakim1, O Driemel, H C Jacobsen
1Department of Maxillofacial Surgery, University Hospital Schleswig-Holstein, Luebeck, Ratzeburger Allee 160, 23538 Luebeck, Germany. samer.hakim@mkg-chir.mu-luebeck.de
The British Journal of Oral & Maxillofacial Surgery
|November 29, 2005
Summary
A minimally invasive multiple-flap transposition vestibuloplasty effectively improved soft tissues around dental implants in atrophied mandibles. This technique ensured implant exposure and adequate attached gingiva without complications.
Area of Science:
- Oral surgery
- Periodontology
- Implant dentistry
Background:
- Atrophic mandibles present challenges for dental implant placement and soft tissue management.
- Conventional methods may require staged procedures or extensive soft tissue grafting.
Purpose of the Study:
- To present a minimally invasive surgical technique for soft tissue augmentation around dental implants in atrophied mandibles.
- To simultaneously expose implants and improve the peri-implant soft tissue condition.
Main Methods:
- A multiple-flap transposition vestibuloplasty was performed on 11 patients with implants in an atrophied mandible.
- The procedure was conducted under local anesthesia as an outpatient surgery.
- Outcomes were assessed over a 55-month follow-up period.
Main Results:
- Successful implant exposure and the creation of 4-9 mm of attached gingiva were achieved.
- No instances of bleeding on probing or local infection were reported.
- The procedure was well-tolerated by outpatients.
Conclusions:
- Transposition multiple-flap vestibuloplasty is a simple, minimally invasive approach for enhancing peri-implant soft tissues.
- The technique effectively improves soft tissue conditions and facilitates implant uncovering.
- It avoids staged surgeries and allows patients to resume routine activities promptly.
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