Simultaneously Modified Onlay Soft Tissue Graft and Apically Positioned Flap for Implant Phenotype Modification: Case...

Area of Science:

• Dentistry
• Oral Surgery
• Periodontology

Background:

• Bone augmentation for dental implants can negatively affect soft tissue, impacting aesthetics and long-term success.
• Challenges include mucogingival junction displacement, reduced keratinized mucosa, and insufficient soft tissue height.
• Optimizing peri-implant soft tissue quantity and quality is vital for implant outcomes.

Purpose of the Study:

• To introduce and evaluate a novel technique for peri-implant phenotype modification following bone augmentation.
• To assess the efficacy of combining a modified onlay graft (MOG) with an apically positioned flap (APF) during simultaneous implant placement.
• To demonstrate the restoration of the soft tissue environment in a single surgical procedure.

Main Methods:

• A novel surgical technique involving a modified onlay graft (MOG) and an apically positioned flap (APF) was developed.
• The MOG-APF technique was performed simultaneously with dental implant placement in two clinical cases.
• Outcomes were evaluated based on soft tissue parameters and aesthetic results.

Main Results:

• The MOG-APF technique successfully restored the peri-implant soft tissue environment.
• Significant improvements were observed in vestibular depth, keratinized tissue width, and vertical soft tissue volume.
• The technique provided an ideal peri-implant phenotype, contributing to stable and aesthetic implant restorations.

Conclusions:

• The modified onlay graft technique is effective for managing soft tissue deficiencies after bone augmentation.
• This single-stage surgical approach enhances peri-implant phenotype, leading to predictable aesthetic and functional outcomes.
• The MOG-APF technique offers a less invasive alternative to traditional methods, improving patient comfort and treatment efficiency.