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Coverage of Buccal Tissue Dehiscences on Endosseous Implants: Decision-Making Process and Case Report
Jose A Moreno Rodriguez1, Raúl G Caffesse2
1Private practice, Murcia, Spain.
Clinical Advances in Periodontics
|September 20, 2019
Summary
A novel surgical technique using a laterally rotated flap and connective tissue graft effectively corrected implant dehiscences and improved soft tissue margins. This approach demonstrated stable results over three years, enhancing both aesthetics and implant maintainability.
Area of Science:
- Periodontology
- Dental Implantology
- Soft Tissue Reconstruction
Background:
- Facial implant dehiscences pose aesthetic challenges and complicate oral hygiene.
- Inadequate or mobile soft tissue margins exacerbate these issues, impacting implant health.
Observation:
- A case report details a new surgical approach for soft tissue dehiscences around endosseous implants.
- The technique involves a laterally rotated flap combined with a tunnel subepithelial connective tissue graft.
Findings:
- The combined surgical technique successfully corrected soft tissue dehiscences.
- Keratinized mucosa was gained around the endosseous implants.
- Stable soft tissue conditions were maintained for three years post-treatment.
Implications:
- This surgical method offers a promising solution for managing implant dehiscences.
- Improved soft tissue coverage can enhance aesthetic outcomes and facilitate implant maintenance.
- Further controlled studies are warranted to validate the efficacy of this technique.
