Surgical Approach for Facial Peri-implant Soft Tissue Deficiency in the Esthetic Area
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Peri-implant soft tissue dehiscence/deficiency (PSTD) is an apical shift in the peri-implant facial soft tissue margin, including mid-facial recession, mucosal recession or dehiscence, soft-tissue dehiscence/deficiency, or a soft-tissue defect. PSTD of maxillary anterior implants can be resolved with soft tissue grafting to improve esthetics of the implant-supported crown and health of peri-implant tissue. Here, we report two cases of efficiently managed PSTD using different surgical procedures in the esthetic area. The soft tissue augmentation technique, including subepithelial connective tissue grafting with a coronally advanced flap and free gingival graft, could achieve healthy peri-implant tissue and esthetics of the implant-supported crown through coverage of PSTD. Clinicians should prevent PSTD by fully considering the factors that increase the risk of PSTD before implant placement.
Abstract
Peri-implant soft tissue dehiscence/deficiency (PSTD) is an apical shift in the peri-implant facial soft tissue margin, including mid-facial recession, mucosal recession or dehiscence, soft-tissue dehiscence/deficiency, or a soft-tissue defect. PSTD of maxillary anterior implants can be resolved with soft tissue grafting to improve esthetics of the implant-supported crown and health of peri-implant tissue. Here, we report two cases of efficiently managed PSTD using different surgical procedures in the esthetic area. The soft tissue augmentation technique, including subepithelial connective tissue grafting with a coronally advanced flap and free gingival graft, could achieve healthy peri-implant tissue and esthetics of the implant-supported crown through coverage of PSTD. Clinicians should prevent PSTD by fully considering the factors that increase the risk of PSTD before implant placement.
참고문헌 (10)
- Buser D, "Modern implant dentistry based on osseointegration : 50 years of progresses, current trends and open questions", Periodontol 2000, 73, pp.7~21 (2017)
- Mazzotti C, "Soft-tissue dehiscence coverage at peri-implant sites", Periodontol 2000, 77, pp.256~272 (2018)
- Zucchelli G, "Classification of facial peri-implant soft tissue dehiscence", deficiencies at single implant sites in the esthetic zone, 2019, pp.90, 1116~1124
- Lin GH, "The significance of keratinized mucosa on implant health : a systematic review", J Periodontol, 84, pp.1755~1767 (2013)
- Evans CD, "Esthetic outcomes of immediate implant placements", Clin Oral Implants Res, 19, pp.73~80 (2008)
- Cosyn J, "Predictors of inter-proximal and midfacial recession following single implant treatment in the anterior maxilla : a multivariate analysis", J Clin Periodontol, 39, pp.895~903 (2012)
- Sculean A, "Coverage of mucosal recessions at dental implants", Periodontol 2000, 73, pp.134~140 (2017)
- Zucchelli G, "5-year outcomes after coverage of soft tissue dehiscence around single implants : a prospective cohort study", Eur J Oral Implantol, 11, pp.215~224 (2018)
- Butler B, "Managing esthetic implant complications", Compend Contin Educ Dent, 33, pp.514~518 (2012)
- Zucchelli G, "A novel surgicalprosthetic approach for soft tissue dehiscence coverage around single implant", Clin Oral Implants Res, 24, pp.957~962 (2013)