Abstract
References
- 1. Newman MG, Takei HH, Klokkevold PR, Carranza FA. Newman and Carranza’s clinical periodontology / [edited by] Michael G. Newman, Henry H. Takei, Perry R. Klokkevold, Fermin A Carranza. 2019; 1–994.
- 2. Ainamo J, Löe H. Anatomical characteristics of gingiva. A clinical and microscopic study of the free and attached gingiva. J Periodontol 1966; 37: 5–13.
- 3. Cortellini P, Bissada NF. Mucogingival conditions in the natural dentition: Narrative review, case definitions, and diagnostic considerations. J Periodontol 2018; 89 Suppl 1: S204–S213.
- 4. Kim DM, Neiva R. Periodontal soft tissue non-root coverage procedures: a systematic review from the AAP Regeneration Workshop. J Periodontol 2015; 86: S56–S72.
- 5. Kim DM, Bassir SH, Nguyen TT. Effect of gingival phenotype on the maintenance of periodontal health: An American Academy of Periodontology best evidence review. J Periodontol 2020; 91: 311– 338.
- 6. Araujo MG, Lindhe J. Peri-implant health. J Clin Periodontol 2018; 45 Suppl 20: S230–S236.
- 7. Mehta P, Peng LL. The width of the attached gingiva—Much ado about nothing? J Dent 2010; 38: 517–525.
- 8. Roccuzzo M, Grasso G, Dalmasso P. Keratinized mucosa around implants in the partially edentulous posterior mandible: 10-year results of a prospective comparative study. Clin Oral Implants Res 2016; 27: 491–496.
- 9. Schrott AR, Jimenez M, Hwang JW, Fiorellini J, Weber HP. Five- year evaluation of the influence of keratinized mucosa on peri-implant soft-tissue health and stability around implants supporting full-arch mandibular fixed prostheses. Clin Oral Implants Res 2009; 20: 1170– 1177. 10. Kim BS, Kim YK, Yun PY, Yi YJ, Lee HJ, Kim SG et al. Evaluation of peri-implant tissue response according to the presence of keratinized mucosa. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 107. doi:10.1016/J.TRIPLEO.2008.12.010.
- 11. Thoma DS, Naenni N, Figuero E, Hämmerle CHF, Schwarz F, Jung RE et al. Effects of soft tissue augmentation procedures on peri- implant health or disease: A systematic review and meta-analysis. Clin Oral Implants Res 2018; 29 Suppl 15: 32–49.
- 12. Thoma DS, Lim HC, Paeng KW, Kim MJ, Jung RE, Hämmerle CHF et al. Augmentation of keratinized tissue at tooth and implant sites by using autogenous grafts and collagen-based soft-tissue substitutes. J Clin Periodontol 2020; 47: 64–71.
- 13. Heitz-Mayfield LJA, Salvi GE. Peri-implant mucositis. J Clin Periodontol 2018; 45 Suppl 20: S237–S245.
- 14. Thoma DS, Benić GI, Zwahlen M, Hämmerle CHF, Jung RE. A systematic review assessing soft tissue augmentation techniques. Clin Oral Implants Res 2009; 20: 146–165.
- 15. Zucchelli G, Tavelli L, McGuire MK, Rasperini G, Feinberg SE, Wang HL et al. Autogenous soft tissue grafting for periodontal and peri- implant plastic surgical reconstruction. J Periodontol 2020; 91: 9–16.
- 16. de Resende DRB, Greghi SLA, Siqueira AF, Benfatti CAM, Damante CA, Ragghianti Zangrando MS. Acellular dermal matrix allograft versus free gingival graft: a histological evaluation and split-mouth randomized clinical trial. Clin Oral Investig 2019; 23: 539–550.
- 17. Jenabian N, Yazdanpanah Bahabadi M, Bijani A, Rahimi Rad M, Yazdanpanah Bahabadi M. Gingival Unit Graft versus Free Gingival Graft for Treatment of Gingival Recession: A Randomized Controlled Clinical Trial. Front Dent 2016; 13: 184–192.
Gingival augmentation of the edentulous site before implant placement using a transposed pedicled gingivectomy tissue: a novel surgical case report.
Abstract
Keratinized gingiva around teeth, around edentulous sites or implants is important as it improves aesthetics, helps to maintain good oral hygiene around prosthesis, and prevents post-operative implant exposure. The amount of keratinized gingiva around teeth/prostheses is a crucial parameter that should be considered before placing the crowns and bridges around implants or edentulous teeth. The presence of adequate keratinized tissue around implants/prostheses is vital for good peri-implant health and improves the overall prognosis of the implant treatment. Augmentation of the attached gingiva is done using a free gingival graft (FGG) or alloderm. However, procurement of FGG is surgically demanding for general dentists as it technically demanding to procure the graft from the palate. Moreover, it creates a second surgical site with an increased risk of post-operative discomfort and bleeding. To overcome these limitations, this case report presents a novel non-invasive simple, surgical technique to augment keratinized tissue using partially excised pedicled gingivectomy tissue for augmentation of attached gingiva before prosthetic rehabilitation with implants.
Keywords
Mucogingival surgery Pre-prosthetic surgery Attached Gingiva Periodontal Surgery Implants Periimplant tissue
References
- 1. Newman MG, Takei HH, Klokkevold PR, Carranza FA. Newman and Carranza’s clinical periodontology / [edited by] Michael G. Newman, Henry H. Takei, Perry R. Klokkevold, Fermin A Carranza. 2019; 1–994.
- 2. Ainamo J, Löe H. Anatomical characteristics of gingiva. A clinical and microscopic study of the free and attached gingiva. J Periodontol 1966; 37: 5–13.
- 3. Cortellini P, Bissada NF. Mucogingival conditions in the natural dentition: Narrative review, case definitions, and diagnostic considerations. J Periodontol 2018; 89 Suppl 1: S204–S213.
- 4. Kim DM, Neiva R. Periodontal soft tissue non-root coverage procedures: a systematic review from the AAP Regeneration Workshop. J Periodontol 2015; 86: S56–S72.
- 5. Kim DM, Bassir SH, Nguyen TT. Effect of gingival phenotype on the maintenance of periodontal health: An American Academy of Periodontology best evidence review. J Periodontol 2020; 91: 311– 338.
- 6. Araujo MG, Lindhe J. Peri-implant health. J Clin Periodontol 2018; 45 Suppl 20: S230–S236.
- 7. Mehta P, Peng LL. The width of the attached gingiva—Much ado about nothing? J Dent 2010; 38: 517–525.
- 8. Roccuzzo M, Grasso G, Dalmasso P. Keratinized mucosa around implants in the partially edentulous posterior mandible: 10-year results of a prospective comparative study. Clin Oral Implants Res 2016; 27: 491–496.
- 9. Schrott AR, Jimenez M, Hwang JW, Fiorellini J, Weber HP. Five- year evaluation of the influence of keratinized mucosa on peri-implant soft-tissue health and stability around implants supporting full-arch mandibular fixed prostheses. Clin Oral Implants Res 2009; 20: 1170– 1177. 10. Kim BS, Kim YK, Yun PY, Yi YJ, Lee HJ, Kim SG et al. Evaluation of peri-implant tissue response according to the presence of keratinized mucosa. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 107. doi:10.1016/J.TRIPLEO.2008.12.010.
- 11. Thoma DS, Naenni N, Figuero E, Hämmerle CHF, Schwarz F, Jung RE et al. Effects of soft tissue augmentation procedures on peri- implant health or disease: A systematic review and meta-analysis. Clin Oral Implants Res 2018; 29 Suppl 15: 32–49.
- 12. Thoma DS, Lim HC, Paeng KW, Kim MJ, Jung RE, Hämmerle CHF et al. Augmentation of keratinized tissue at tooth and implant sites by using autogenous grafts and collagen-based soft-tissue substitutes. J Clin Periodontol 2020; 47: 64–71.
- 13. Heitz-Mayfield LJA, Salvi GE. Peri-implant mucositis. J Clin Periodontol 2018; 45 Suppl 20: S237–S245.
- 14. Thoma DS, Benić GI, Zwahlen M, Hämmerle CHF, Jung RE. A systematic review assessing soft tissue augmentation techniques. Clin Oral Implants Res 2009; 20: 146–165.
- 15. Zucchelli G, Tavelli L, McGuire MK, Rasperini G, Feinberg SE, Wang HL et al. Autogenous soft tissue grafting for periodontal and peri- implant plastic surgical reconstruction. J Periodontol 2020; 91: 9–16.
- 16. de Resende DRB, Greghi SLA, Siqueira AF, Benfatti CAM, Damante CA, Ragghianti Zangrando MS. Acellular dermal matrix allograft versus free gingival graft: a histological evaluation and split-mouth randomized clinical trial. Clin Oral Investig 2019; 23: 539–550.
- 17. Jenabian N, Yazdanpanah Bahabadi M, Bijani A, Rahimi Rad M, Yazdanpanah Bahabadi M. Gingival Unit Graft versus Free Gingival Graft for Treatment of Gingival Recession: A Randomized Controlled Clinical Trial. Front Dent 2016; 13: 184–192.
Details
| Primary Language | English |
|---|---|
| Subjects | Oral Implantology, Periodontics, Prosthodontics |
| Journal Section | Case Reports |
| Authors | |
| Publication Date | September 30, 2024 |
| Submission Date | October 7, 2023 |
| Published in Issue | Year 2024 |
Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.
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