Coverage of Buccal Tissue Dehiscences on Endosseous Implants: Decision-Making Process and Case Report

INTRODUCTIONDehiscences on facial aspects of implants are an esthetic concern and, just as importantly, may make maintaining adequate home-care measures and implant health more difficult, especially when bordered by inadequate and mobile soft tissue margins. CASE PRESENTATIONThis report describes a...

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Bibliographic Details
Published in:Clinical advances in periodontics 2016, Vol.6 (4), p.195-202
Main Authors: Moreno Rodriguez, Jose A, Caffesse, Raúl G
Format: Report
Language:English
Subjects:
Dentistry
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Summary:INTRODUCTIONDehiscences on facial aspects of implants are an esthetic concern and, just as importantly, may make maintaining adequate home-care measures and implant health more difficult, especially when bordered by inadequate and mobile soft tissue margins. CASE PRESENTATIONThis report describes a new approach, the laterally rotated flap, and a tunnel subepithelial connective tissue graft, used to correct soft tissue dehiscences and gain keratinized mucosa on endosseous implants. Soft tissues were maintained in a stable condition 3 years after treatment. CONCLUSIONSAlthough there are few controlled clinical studies that support any surgical technique for covering dehiscences on implants, some results show a tendency for improvement. The techniques presented in this case report provided promising results.
ISSN:2163-0097
DOI:10.1902/cap.2016.160004