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Stabilization Techniques for Soft Tissue Grafting Around Dental Implants: Case Report.

Samuel Korkis1, Tamika N Thompson1, Michael A Vizirakis2

  • 1Division of Graduate Education, University of Detroit Mercy School of Dentistry, Detroit, MI, USA.

Clinical Advances in Periodontics
|September 10, 2019
PubMed
Summary

Free gingival grafts (FGGs) can augment keratinized tissue (KT) around dental implants. Custom acrylic or composite stents effectively stabilize FGGs during healing, ensuring successful soft tissue augmentation and improved implant health.

Keywords:
Dental implantfree tissue flaps/transplantationgingiva transplantationstentssurgical flaps/surgery

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Area of Science:

  • Dental Implantology
  • Periodontology
  • Oral Surgery

Background:

  • Lack of keratinized tissue (KT) around dental implants is linked to plaque accumulation and inflammation.
  • Free gingival grafts (FGGs) are a common procedure to increase KT, but graft stabilization can be challenging.
  • Effective stabilization of FGGs is crucial for successful soft tissue augmentation around implants.

Observation:

  • This case report details the use of custom acrylic or composite stents for FGG stabilization in two patients with dental implants.
  • FGGs were harvested and adapted around implant abutments, with stabilization stents fabricated to fit over the abutments and support the graft.
  • The stents were designed with internal space for the graft and screwed onto the implant platform for secure fixation.

Findings:

  • The use of custom acrylic or composite stents provided effective stabilization for FGGs around dental implants.
  • Both patients demonstrated healthy and stable zones of keratinized tissue post-procedure.
  • The stent-supported FGGs led to successful soft tissue augmentation and improved peri-implant health.

Implications:

  • Acrylic or composite stents offer a practical and viable solution for stabilizing FGGs in implant dentistry.
  • This technique can enhance the predictability and success rates of soft tissue augmentation procedures around implants.
  • Further research into stent-assisted FGG stabilization may optimize outcomes in managing peri-implant soft tissue deficiencies.