The Triple Layer Graft Protocol to Repair Esthetically Compromised Implants: Rationale, Technique, Indications, and...

Area of Science:

• Dental implantology
• Periodontal plastic surgery
• Oral and maxillofacial surgery

Background:

• Dental implants can experience significant reduction in surrounding tissue height, leading to esthetic defects.
• Current treatments often involve separate soft and hard tissue grafting procedures.
• Malpositioned implants can compromise esthetics and necessitate complex interventions.

Purpose of the Study:

• To demonstrate the efficacy of the Triple Layer Graft (TLG) combined with Decoronation for restoring peri-implant tissue.
• To present a novel, single-stage surgical protocol for addressing both hard and soft tissue deficits.
• To report on the short- and long-term outcomes of this combined technique.

Main Methods:

• Two case reports detailing the application of the TLG and Decoronation technique in patients with reduced peri-implant tissue height.
• Description of the step-by-step surgical and prosthetic protocol.
• Inclusion of indications, contraindications, and long-term results.

Main Results:

• The combined TLG and Decoronation technique effectively restored normal tissue contour and height over implants.
• The procedure proved highly effective in improving patient esthetics.
• Both short- and long-term results demonstrated the success of the technique.

Conclusions:

• The Triple Layer Graft (TLG) in conjunction with the Decoronation technique is an effective solution for managing mild to severe esthetic defects around dental implants.
• This innovative procedure can help preserve implants that might otherwise require removal and replacement, offering significant patient benefit.