Mucosal dehiscence coverage for dental implant using split pouch technique: a two-stage approach [corrected].

Area of Science:

• Dental Implantology
• Periodontology
• Oral Surgery

Background:

• Soft tissue recession around dental implants leads to esthetic concerns and dissatisfaction.
• Implant site soft tissue coverage is less predictable than tooth coverage, especially with thin mucosa.
• Mucosal dehiscence presents a significant challenge in achieving optimal esthetic outcomes for endosseous implants.

Observation:

• A case report details a two-step mucosal dehiscence coverage technique for an endosseous implant in the maxillary anterior region.
• The initial surgery involved a subepithelial connective tissue graft, which resulted in partial keratinized mucosa coverage but a concave interdental papilla.
• A second surgical intervention using the same technique was performed to address residual mucosal recession.

Findings:

• The second graft successfully resolved the mucosal recession observed after the initial procedure.
• Esthetically satisfactory results were achieved, with stable marginal soft tissue levels observed 9 months post-second surgery.
• The two-step approach demonstrated efficacy in managing soft tissue defects around dental implants.

Implications:

• This two-step mucosal dehiscence coverage technique offers a viable solution for improving esthetic outcomes in implant dentistry.
• The findings suggest that a staged approach can enhance the predictability and success rate of soft tissue reconstruction around implants.
• This technique holds potential for clinicians seeking to manage challenging soft tissue recession cases and improve patient satisfaction.