Simultaneous placement of an interpositional free gingival graft with nonsubmerged implant placement
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Purpose: Various surgical techniques target achieving adequate keratinized tissue arounddental implants; however, these techniques are usually performed before implant placementor upon the exposure of submerged implants. The aim of this case report is to describea simultaneous placement of an interpositional free gingival graft (iFGG) with thatof nonsubmerged implants in a patient lacking keratinized tissue and to assess the longtermoutcome of this grafted gingiva. Methods: A wedge-shaped free gingnival graft (FGG), including an epithelium–connectivetissue (E–C) portion and a connective-tissue-only (CT) portion, was harvested from the palate. The CT portion was inserted under the buccal flap, and the E–C portion was securedtightly around the implants and to the lingual flap. Results: At the 8-year follow-up, the gingival graft remained firmly attached and was wellmaintained, with no conspicuous shrinkage or reported discomfort during oral hygieneprocedures. The use of an iFGG at a nonsubmerged implant placement minimizes the requirednumber of surgical steps and patient discomfort while providing adequate buccalkeratinized tissue. Conclusions: Therefore, the technique could be considered an alternative method in increasingthe keratinized tissue for cases that have a minimal amount of keratinized tissue.
Abstract
Purpose: Various surgical techniques target achieving adequate keratinized tissue arounddental implants; however, these techniques are usually performed before implant placementor upon the exposure of submerged implants. The aim of this case report is to describea simultaneous placement of an interpositional free gingival graft (iFGG) with thatof nonsubmerged implants in a patient lacking keratinized tissue and to assess the longtermoutcome of this grafted gingiva. Methods: A wedge-shaped free gingnival graft (FGG), including an epithelium–connectivetissue (E–C) portion and a connective-tissue-only (CT) portion, was harvested from the palate. The CT portion was inserted under the buccal flap, and the E–C portion was securedtightly around the implants and to the lingual flap. Results: At the 8-year follow-up, the gingival graft remained firmly attached and was wellmaintained, with no conspicuous shrinkage or reported discomfort during oral hygieneprocedures. The use of an iFGG at a nonsubmerged implant placement minimizes the requirednumber of surgical steps and patient discomfort while providing adequate buccalkeratinized tissue. Conclusions: Therefore, the technique could be considered an alternative method in increasingthe keratinized tissue for cases that have a minimal amount of keratinized tissue.
참고문헌 (32)
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