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Published on: October 18, 2021
I-shaped incisions for papilla reconstruction in second stage implant surgery
Eun-Kwon Lee1, Yeek Herr, Young-Hyuk Kwon
1Department of Periodontology, Kyung Hee University School of Dentistry, Seoul, Korea.
Purpose:
Pink gingival esthetic especially on the anterior teeth has been an important success criterion in implant-supported restoration. Inter-implant papillae are a critical factor for implant esthetics, and various techniques for inter-implant papilla reconstruction have been introduced. The aim of this study is to suggest and evaluate a surgical technique for reconstructing inter-implant papillae.
Methods:
A 28-year-old man had an implant placed on the #13 and #14 area. Four months after implant placement, a second stage surgery was planned for inter-implant papilla reconstruction. At the time of the abutment connection, I-type incisions were performed on the #13i & #14i area followed by full-thickness flap elevation and connection of a healing abutment on underlying fixtures without suture.
Results:
Two weeks after the second stage implant surgery, soft tissue augmentation between the two implants was achieved.
Conclusions:
I-shaped incisions for papilla reconstruction performed during the second stage implant surgery were useful for inter-implant papilla reconstruction and showed a good esthetic result.