scholarly journals Augmentation of keratinized tissue at tooth and implant sites by using autogenous grafts and collagen‐based soft‐tissue substitutes

2019 ◽  
Vol 47 (1) ◽  
pp. 64-71 ◽  
Author(s):  
Daniel S. Thoma ◽  
Hyun‐Chang Lim ◽  
Kyeong‐Won Paeng ◽  
Myong Ji Kim ◽  
Ronald E. Jung ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Keratinized Tissue ◽  
Autogenous Grafts

scholarly journals Enxerto gengival livre para correção de defeitos de tecido mole previamente a cirurgias reconstrutivas

2020 ◽  
Vol 9 (2) ◽  
Author(s):  
Anabelle Dias Ribeiro ◽  
Julliana Cariry Palhano Freire ◽  
Jaqueline Oliveira Barreto ◽  
Eduardo Dias Ribeiro ◽  
Ronaldo Lira Júnior ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Dental Implants ◽  
Case Series ◽  
Soft Tissue Augmentation ◽  
Immediate Reconstruction ◽  
Oral Implants ◽  
Keratinized Tissue ◽  
Case Series Study ◽  
Attached Gingiva ◽  
Keratinized Mucosa

A anatomia do tecido mole peri-implantar é semelhante à do dente natural, uma vez que apresenta epitélio juncional e tecido conjuntivo. O selamento peri-implantar é estabelecido pela mucosa ceratinizada que previne a migração apical da margem gengival, mantendo a arquitetura tecidual e estética vermelha ao redor dos implantes osseointegráveis. O presente trabalho objetivou relatar um caso clínico de reconstrução de tecido mole previamente a cirurgia óssea reconstrutiva para a instalação de implante osseointegrável. Após a reconstrução do tecido mole observou-se que houve um satisfatório ganho de altura e espessura tecidual. Foi obtido um volume tecidual suficiente para regularização do zênite gengival e considerável volume de mucosa ceratinizada foi obtida previamente a cirurgia reconstrutiva.Descritores: Implantes Dentários; Periodontia; Reabilitação Bucal.ReferênciasMutthineni RB, Dudala RB, Ramisetty A. Esthetic root coverage with double papillary subepithelial connective tissue graft: a case report. Case Rep Dent. 2014;2014:509319.Peñarrocha MA, Carrillo C, Boronat A,Martí EM. Level of satisfaction in patients with maxillary mull-arch fixed protheses: zigomatic versus convencional implants. Int J Oral Maxillofac Implants. 2007;22(5):769-73.Ponsi J, Lahti S, Rissanen H, Oikarinen K. Change in subjective oral health after single dental implant treatment. Int J Oral Maxillofac Implants. 2011;26(3):571-77.Man Y, Wang Y, Qu Y, Wang P, Gong P. A palatal roll envelope technique for peri-implant mucosa reconstruction: a prospective case series study. Int J Oral Maxillofac Surg. 2013;42(5):660-65.Schneider D, Grunder U, Ender A, Hämmerle CH, Jung RE. Volume gain and stability of peri-implant tissue following bone and soft tissue augmentation: 1-year results from a prospective cohort study. Clin Oral Implants Res. 2011;22(1):28-37.Evans CD, Chen ST. Esthetic outcomes of immediate implant placements. Clin Oral Implants Res. 2008;19(1):73-80.Grover HS, Yadav A, Yadav P, Nanda P. Free gingival grafting to increase the zone of Keratinized tissue around implants. Int J Oral Implant Clinical Res. 2011;2(2):117-20.Almeida JM, Novaes VN, Faleiros PL, Macarimi VC, Bosco AF, Theodoro LH et al. Aumento de gengiva ceratinizada em mucosa peri-implantar. Rev odontol UNESP. 2012;41(5):365-69.Langer B, Langer L. Overlapped flap: a surgical modification for implant fixture installation. Int J Periodontics Restorative Dent. 1990;10(3):208-15.Raghoebar GM, Meijer HJA, van Minnen B, Vissink A. Immediate Reconstruction of Failed Implants in the Esthetic Zone Using a Flapless Technique and Autogenous Composite Tuberosity Graft. J Oral Maxillofac Surg. 2018;76(3):528-33.Chung DM, Oh TJ, Shotwell JL, Misch CE, Wang HL. Significance of keratinized mucosa in maintenance of dental implants with different surfaces. J Periodontol. 2006;77(8):1410-20.Park JC , Yang KB, Choi Y , Kim YT , Jung UW , Kim CS et al. A simple approach to preserve keratinized mucosa around implants using a pre-fabricated implant-retained stent: a report of two cases. J Periodontal Implant Sci. 2010; 40(4):194-200.Wennström JL, Bengazi F, Lekholm U. The influence of the masticatory mucosa on the peri-implant soft tissue condition. Clin Oral Implants Res. 1994;5(1):1-8. Bengazi F, Wennström JL, Lekholm U. Recession of the soft tissue margin at oral implants. A 2-year longitudinal prospective study. Clin Oral Implants Res. 1996;7(4):303-10.Bouri A Jr, Bissada N, Al-Zahrani MS, Faddoul F, Nouneh I. Width of keratinized gingiva and the health status of the supporting tissues around dental implants. Int J Oral Maxillofac Implants. 2008;23(2):323-26.Fu JH, Su CY, Wang HL. Esthetic soft tissue management for teeth and implants. J Evid Based Dent Pract. 2012;12(3 Suppl):129-42.Marquez IC. The role of keratinized tissue and attached gingiva in maintaining periodontal/peri-implant health. Gen Dent. 2004;52(1):74-9.

scholarly journals Harvesting of autogenous grafts for gingival recession coverage

2019 ◽  
Vol 3 (1) ◽  
Author(s):  
Peter Windisch ◽  
Balint Molnar
Keyword(s):  
Soft Tissue ◽  
Gold Standard ◽  
Standard Treatment ◽  
Donor Site ◽  
Gingival Recession ◽  
Soft Tissue Graft ◽  
Tissue Grafts ◽  
Periodontal Plastic Surgery ◽  
Soft Tissue Grafts ◽  
Autogenous Grafts

Abstract The ultimate aim of periodontal plastic surgery is to create optimal pink esthetics through the reconstruction of gingival recessions. Application of autogenous soft tissue grafts is considered as a gold standard treatment modality with predictable esthetic outcomes for gingival recession coverage. Harvesting a free soft tissue graft from an esthetically irrelevant region of the oral mucosa using various techniques can prevent donor site complications around the adjacent teeth.

Perioperative Morbidity Associated with ACL Reconstruction: A Comparison of Risk Between Soft-Tissue Allografts and Autogenous Grafts in 413 Patients (SS-66)

2011 ◽  
Vol 27 (5) ◽  
pp. e65
Author(s):  
Dennis C. Crawford ◽  
Sara E. Hallvik ◽  
Ryan C. Petering ◽  
Samantha M. Quilici ◽  
Stephanie A. Lavigne ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Acl Reconstruction ◽  
Perioperative Morbidity ◽  
Autogenous Grafts

scholarly journals ARE YOUR GUMS IN THE PINK OF HEALTH?

2020 ◽  
Author(s):  
Gaurav Shetty ◽  
Amruta U Naniwadekar ◽  
Dipika K. Mitra ◽  
Rohit Shah ◽  
Ankit Desai
Keyword(s):  
Soft Tissue ◽  
Private Practice ◽  
Soft Tissue Augmentation ◽  
Missing Teeth ◽  
Keratinized Tissue ◽  
Natural Teeth ◽  
Tissue Interface ◽  
Materials Used ◽  
Key Words Teeth

Introduction The presence of healthy attached tissue at the tooth and implant soft tissue interface correlates with long-term success and stability in function and esthetics and requires conversion of unfavorable soft tissue traits to more favorable ones. Several soft tissue grafting procedures have been developed to improve both the volume of keratinized tissue and the soft tissue contour around implants and the tooth. Objectives This study therefore aims at determining the knowledge , attitude , and perception of Periodontists and implantologists in private practice towards soft tissue grafting around implants and teeth . Methodology Approximately 100 periodontists and dental practioners from Mumbai were provided with a questionnaire to evaluate their knowledge about soft tissue grafting around implants and teeth .The questionnaire consists questions regarding different techniques involved in soft tissue grafting , the materials used for it , the complications faced during the procedure and the preferred method . Results: The results show that very few practioners are practicing soft tissue grafting around natural teeth and implants in their private practice. Conclusion : Thus, keeping in mind the results of the study it is essential to create more awareness about soft tissue augmentation and its importance and also conduct programmes to train dentists for the same. Key Words : Teeth Replacement, awareness, attitude, patients, missing teeth, socioeconomic status.

Pedicled Lingual Flap to Provide Keratinized Tissue Regeneration Over Dental Implants: A Description of the Technique and a Case Report

2015 ◽  
Vol 41 (2) ◽  
pp. 196-199 ◽  
Author(s):  
Alan S. Herford ◽  
Rahul Tandon ◽  
Luca Pivetti ◽  
Marco Cicciù
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Case Reports ◽  
Tissue Loss ◽  
Pedicle Flap ◽  
Collagen Matrices ◽  
Keratinized Tissue ◽  
Patient Reported ◽  
Implant Dentistry ◽  
Soft Tissue Loss

The aim of this study is to report the efficacy of a lingual pedicle flap for soft tissue pre-prosthetic surgery in implant rehabilitation. While it has been demonstrated that keratinized gingiva is an important factor for implant success, there remains a dearth of case reports concerning the use of a lingual pedicle flap to achieve this desired outcome in such a large reconstructive effort. For this case report, the patient underwent an anterior mandibular resection of an ameloblastoma and subsequent reconstruction, resulting in soft tissue loss. To satisfy the patient's desires, both functionally and esthetically, a bilateral rotated pedicled lingual flap was performed to augment keratinized tissue on the anterior mandibular ridge. An additional vestibuloplasty with two collagen matrices was also performed, and an acrylic splint was then applied to achieve better stabilization. The primary outcome was to evaluate the efficacy of this technique, which, until now, was used only for exposed root coverage. The site demonstrated excellent healing over time, even resulting in an excess of healthy and pink soft tissue, which later had to be corrected with a small gingivectomy. Although the patient reported slight discomfort for a few days after surgery, she was nonetheless pleased both with her ability to function and her appearance. The results of this study show that the bilateral rotated pedicled lingual flap is a viable technique for the correction of soft tissue defects in implant dentistry, providing a good amount of keratinized gingiva.

scholarly journals Clinical and radiographics results at 3 years of RCT with split-mouth design of submerged vs. nonsubmerged single laser-microgrooved implants in posterior areas

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Renzo Guarnieri ◽  
Dario Di Nardo ◽  
Gianni Di Giorgio ◽  
Gabriele Miccoli ◽  
Luca Testarelli
Keyword(s):  
Soft Tissue ◽  
Statistical Difference ◽  
Soft Tissues ◽  
Gingival Recession ◽  
Statistical Correlation ◽  
Two Stage ◽  
One Stage ◽  
Keratinized Tissue ◽  
Significant Difference

Abstract Aim To evaluate and compare radiographic crestal bone loss (CBL) and soft tissue parameters around submerged/two-stage and nonsubmerged/one-stage single implants with the same endosseous portion (body design and surface, thread design and distance) and identical intramucosal laser-microgrooved surface, after 3 years of loading. Materials and methods Twenty submerged/two-stage implants and 20 nonsubmerged/one-stage implants were placed randomly with a split-mouth design in the posterior areas of 20 partially edentulous patients. Radiographic and clinical examinations were carried out at the implant placement, at the delivery of prosthetic restorations, and at each year of the follow-up period. Plaque index (PI), probing depth (PD), bleeding on probing (BOP), and gingival recession (REC) were recorded. Radiographic crestal bone levels were assessed at the mesial and distal aspect of the implant sites. In addition, the influence of the vertical keratinized tissue thickness (KTT) on CBL was investigated. Results At the delivery of prosthetic restorations, a statistically significant difference (P = 0.013) was found in radiographic mean CBL between submerged and nonsubmerged implants (0.15 ± 0.05 mm vs. 0.11 ± 0.04 mm). At the end of the follow-up period, no statistical difference (P = 0.741) was found in the mean CBL between submerged and nonsubmerged implants (0.27 ± 04 mm vs. 0.26 ± 0.5 mm). The changes in the soft tissues including PI, PD, BOP, and REC had no significant differences in either group. Moreover, KTT did not show a statistical correlation with CBL. Conclusions After 3 years of loading, no statistical difference was noted in CBL and soft tissue conditions between single submerged two-stage and nonsubmerged one-stage laser-microgrooved implants. Trial registration http://clinicaltrials.gov/ct2/show/NCT03674762

Xeroradiographs in Revisional Septorhinoplasty

1981 ◽  
Vol 89 (1) ◽  
pp. 153-160
Author(s):  
Victor V. Strelzow ◽  
T. David R. Briant
Keyword(s):  
Soft Tissue ◽  
Preoperative Evaluation ◽  
Nasal Dorsum ◽  
X Rays ◽  
Nasal Surgery ◽  
Implant Materials ◽  
Autogenous Grafts

Because of the continuing increase in the popularity of cosmetic nasal surgery, the revision of previously augmented septorhinoplasties has become more common. With the use of autogenous grafts and the popularization of several synthetic implant materials, a correct preoperative evaluation of the augmented nasal dorsum has become more difficult. Several such patients were examined using conventional soft tissue roentgenograms and xerograms. The latter method produced an improved image of the nasal skeleton when compared with the conventional soft tissue examination. The support for this conclusion is provided by clinical photographs, x-rays films, and xerograms of illustrative cases.

scholarly journals Early Creeping Attachment Noted after Mandibular Labial Frenuloplasty

2020 ◽  
Vol 2020 ◽  
pp. 1-4 ◽  
Author(s):  
P. Stylianou ◽  
N. Soldatos ◽  
E. K. Edmondson ◽  
N. Angelov ◽  
R. Weltman
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Minimal Amount ◽  
Root Coverage ◽  
Keratinized Tissue ◽  
Attached Gingiva ◽  
Anterior Mandible ◽  
Soft Tissue Surgery

Recession of the mandibular central incisors is frequently associated with high frenum insertion. Often times, this recession is accompanied by a lack of sufficient amount of keratinized tissue and absence of attached gingiva. In this case report, an ASA I patient presented with Cairo Recession Type 2 (RT2) and a minimal amount of keratinized tissue on the mandibular central incisors and underwent frenuloplasty in the anterior mandible with the use of a conventional scalpel technique due to high frenum attachment. The results demonstrated creeping attachment of 1.0 mm as early as 10 days postoperatively resulting in complete root coverage and closure of the interproximal space between teeth #24 and 25. A second soft tissue surgery was avoided due to complete root coverage which remained stable at the 6-month follow-up appointment.

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