변형된 골막천공술을 사용한 임플란트 주위 전정성형
Vestibuloplasty around Dental Implants Using Modified Periosteal Fenestration (mPF): Case Series
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초록
Severe plaque accumulation might occur in the shallow vestibule around dental implants, resulting in a higher occurrence of peri-implant mucositis or peri-implantitis. This case series aimed to evaluate the efficiency of modified periosteal fenestration (mPF) for treating a patient with a shallow vestibule and reduced width of attached mucosa around dental implants. The mPF technique was performed by modifying the traditional periosteal fenestration method. Initially, the partial-thickness apically positioned flap (APF) was performed. After that, horizontal parallel periosteal fenestration incision was done from the coronal border of the APF toward the crown of the implant at 2 mm. A full thickness flap elevation in the apical direction was performed to create an osseous exposure of 2 mm or more from the incision site. A linear island of denuded bone was thus produced. The wound so created was covered with resorbable periodontal pack. In all three patients, sufficient dimension of attached mucosa and deepened vestibule around dental implants were gained and maintained during the follow-up period ranging from 12 to 18 months. Thus, the mPF procedure, which we first suggested, might be a powerful alternate treatment modality for vestibuloplasty around dental implants, to traditional APF only or free gingival graft procedures.
Abstract
Severe plaque accumulation might occur in the shallow vestibule around dental implants, resulting in a higher occurrence of peri-implant mucositis or peri-implantitis. This case series aimed to evaluate the efficiency of modified periosteal fenestration (mPF) for treating a patient with a shallow vestibule and reduced width of attached mucosa around dental implants. The mPF technique was performed by modifying the traditional periosteal fenestration method. Initially, the partial-thickness apically positioned flap (APF) was performed. After that, horizontal parallel periosteal fenestration incision was done from the coronal border of the APF toward the crown of the implant at 2 mm. A full thickness flap elevation in the apical direction was performed to create an osseous exposure of 2 mm or more from the incision site. A linear island of denuded bone was thus produced. The wound so created was covered with resorbable periodontal pack. In all three patients, sufficient dimension of attached mucosa and deepened vestibule around dental implants were gained and maintained during the follow-up period ranging from 12 to 18 months. Thus, the mPF procedure, which we first suggested, might be a powerful alternate treatment modality for vestibuloplasty around dental implants, to traditional APF only or free gingival graft procedures.
참고문헌 (15)
- Esposito M, "Interventions for replacing missing teeth : management of soft tissues for dental implants", Cochrane Database Syst Rev, 18, pp.CD006697~ (2007)
- Artzi Z, "Mucosal considerations for osseointegrated implants", J Prosthet Dent, 70, pp.427~432 (1993)
- Heberer S, "Clinical evaluation of a modified method of vestibuloplasty using an implantretained splint", J Oral Maxillofac Surg, 67, pp.624~629 (2009)
- Halperin-Sternfeld M, "The association between shallow vestibular depth and peri-implant parameters : a retrospective 6 years longitudinal study", J Clin Periodontol, 43, pp.305~310 (2016)
- Friedman A, "Mucogingival surgery : the apically repositioned flap", J Periodontol, 33, pp.328~340 (1962)
- Bjorn H, "Free transplantation of gingiva propria", Swedish Dent J, 22, pp.684~689 (1963)
- Schmitt CM, "Long-term outcomes after vestibuloplasty with a porcine collagen matrix(Mucograft)versus the free gingival graft : a comparative prospective clinical trial", Clin Oral Implants Res, 27, pp.e125~e133 (2015)
- Hillerup S, "Healing reactions of relapse in secondary epithelization vestibuloplasty on dog mandibles", Int J Oral Surg, 9, pp.116~127 (1980)
- Froschl T, "The optimal vestibuloplasty in preprosthetic surgery of the mandible", J Craniomaxillofac Surg, 25, pp.85~90 (1997)
- Corn H, "Periosteal separation; its clinical significance", J Periodontol, 33, pp.140~153 (1962)
- Kon S, "Split thickness flap, apically replaced, with protected linear periosteal fenestration : a clinical and histological study in dogs", J Periodontol, 49, pp.174~180 (1978)
- Yadav N, "Comparative evaluation of the relative efficacy of the free mucosal graft and periosteal fenestration for increasing the vestibular depth-A clinical study", Contemp Clin Dent, 5, pp.366~370 (2014)
- (2019)[URL]
- Lee WP, "Novel Use of Silicone Sheets for Immediate Implant Placement in Fresh Molar Extraction Sockets", Case Rep Dent, pp.3501671~ (2019)
- Basegmez C, "The comparison of two techniques to increase the amount of periimplant attached mucosa: free gingival grafts versus vestibuloplasty.Oneyear results from a randomised controlled trial", Eur J Oral Implantol, 5, pp.139~145 (2012)