Peri-Implant Keratinized Tissue Width Enhancement Using Allogenous Soft Tissue Graft Material: A Case Report Peri-Implant Soft Tissue Grafting
Regeneration, Reconstruction & Restoration (Triple R),
Vol. 9 (2024),
1 January 2024
https://doi.org/10.22037/rrr.v9.46801
Abstract
Various surgical techniques have been developed to reconstruct keratinized tissue (KT) around dental implants, including the use of acellular dermal matrix (ADM). However, ADM grafting is commonly performed with a partial-thickness flap, which can be technique-sensitive and may lead to flap thinning or perforation.
In this case, a 54-year-old male presented with discomfort and hygiene issues around mandibular implants placed 10 months prior. Clinical examination revealed a thin gingival biotype, inadequate KT, and shallow vestibules in the area from the mandibular left canine to the first molar. To address these challenges, we opted for a modified approach using an apically positioned full-thickness flap combined with a 7 mm wide ADM graft, eliminating the need for a donor site and improving structural stability.
At the nine-month follow-up, results showed a 4-5 mm increase in KT, enhanced vestibular depth, and favorable esthetics with satisfactory color matching. This technique provided both functional stability and esthetic satisfaction, making ADM grafting with a full-thickness flap a reliable option for KT reconstruction in esthetic zones.
- Soft tissue
- Allogenic grafting
- Keratinized mucosa
- Dental implants
- Oral cavity
How to Cite
References
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