A revised technique for stage-two surgery in the severely resorbed mandible: a technical note

Area of Science:

• Oral surgery
• Periodontology
• Dental implantology

Background:

• Severe mandibular resorption poses challenges for dental implant placement.
• Peri-implant mucosal mobility can compromise implant success.
• Existing techniques may not adequately address severe bone loss and soft tissue deficiencies.

Purpose of the Study:

• To describe a revised stage-two surgical technique for the severely resorbed mandible.
• To eliminate mucosal mobility in the peri-implant area.
• To enhance the stability and success of dental implants in compromised bone conditions.

Main Methods:

• A modified surgical approach limiting lingual flap detachment.
• Augmentation of attached masticatory mucosa using a free gingival graft.
• Vestibular deepening and prevention of muscle reattachment with a postsurgical stent.

Main Results:

• The technique effectively addresses severe mandibular resorption.
• Elimination of peri-implant mucosal mobility was achieved.
• Improved soft tissue support around dental implants was observed.

Conclusions:

• The described revised stage-two technique is suitable for severely resorbed mandibles.
• This method enhances peri-implant tissue stability and potentially improves implant survival rates.
• It offers a viable solution for complex implant cases requiring significant soft tissue reconstruction.