软组织
医学
裂开
植入
十二指肠大乳头
牙科
结缔组织
口腔给药
外科
病理
作者
Lorenzo Tavelli,Giovanni Zucchelli,Hom‐Lay Wang,Shayan Barootchi
出处
期刊:PubMed
日期:2023-07-14
卷期号:44 (7): 378-383; quiz 384
摘要
The treatment of a peri-implant soft-tissue dehiscence (PSTD) can be quite challenging for many clinicians and leave gravely disappointing esthetic remarks for patients to bear. The present article describes the treatment of two adjacent PSTDs in the forefront of the anterior region, where papilla deficiency also was exhibited. The case was treated with a coronally advanced flap and connective tissue graft (CTG) with submerged healing. The implant-supported crowns and abutments were removed, and soft-tissue augmentation was performed using a CTG that was sutured to the buccal site of the implants. The flap was released and sutured over the implants, which were submerged aiming for a closure by primary intention. After 3 months, a combination of an apically positioned flap and roll flap was performed to increase keratinized mucosa width around the implants and augment the peri-implant papilla. Clinical and esthetic satisfactory outcomes were obtained at 1 year.
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