Direct Sinus Lift and Soft Tissue Enhancement for a Complete Esthetic and Functional Result

Abstract Overdenture treatment provides an esthetic and functional result that allows proper access for hygiene and maintenance. For implant-retained overdentures to be successful, functional loads must be distributed optimally to the mucosa and the abutments. For this purpose, impressions must record the soft tissue supporting areas simultaneously with accurate registration of the implant components. Usually, finger pressure is used to make functional impressions. This article describes an alternate pressure-free functional impression technique for implant-retained overdentures.

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Soft Tissue Enhancement and Implant Placement Following Partial Mandibulectomy Due to Squamous Cell Carcinoma

Journal of Oral Implantology ◽

10.1563/aaid-joi-d-17-00013 ◽

2017 ◽

Vol 43 (4) ◽

pp. 291-296 ◽

Cited By ~ 1

Author(s):

Fabio Bernardello ◽

Giampietro Bertasi ◽

Ralph Powers ◽

Sergio Spinato ◽

Andrea Viaggi ◽

...

Keyword(s):

Squamous Cell Carcinoma ◽

Soft Tissue ◽

Oral Squamous Cell Carcinoma ◽

Cell Carcinoma ◽

Squamous Cell ◽

Ventral Surface ◽

Scar Tissue ◽

Implant Placement ◽

Tissue Enhancement

Many dental procedures allow for implant placement in partially or totally edentulous patients. Despite the availability of various implant and abutment types on the market, it often becomes quite challenging to achieve the biological and esthetic goals in a patient who has ridge deficiencies. Problems arise from the lack of adequate bone quality and quantity.1,2 Soft tissue form and maintenance is also a consideration to evaluate.3 Primary reconstructive techniques following segmental mandibulectomy is evolving and improves quality of life. A seldom encountered complication is the discovery and treatment of a malignant process (for example, squamous cell carcinoma). Oral squamous cell carcinoma (OSCC) is one of the most aggressive malignancies worldwide and accounts for more than 90% of all oral cancers.4 It is ranked as the sixth leading cause of cancer mortality worldwide. The most common sites of OSCC are the lateral ventral surface of the tongue, the floor of the mouth and buccal mucosa. For most oral cavity cancers, surgery is the initial treatment of choice (often involving the full or partial removal of bony jaw structure).5 Radiation or chemoradiation is added postoperatively if disease is more advanced or has high-risk features. Successful cancer therapy can affect the quantity and quality of soft tissue in areas where implants are planned, thus affecting the initial placement and the long-term success of the implants. Complications can be numerous; especially difficult is implant treatment in the mandibular anterior area where inadequate alveolar height results in the lingual floor and the vestibule becoming contiguous.6 Further complicating treatment is the presence of scar tissue (often found following cancer surgery and radiotherapy). The present case is a report of the combination of a soft tissue enhancement and implant placement following partial mandibulectomy resulting from the treatment of oral squamous cell carcinoma. A video abstract is available for viewing at https://youtu.be/dZ9t3j4ufOc?list=PLvRxNhB9EJqbqjcYMbwKbwi8Xpbb0YuHI.

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Soft-Tissue Enhancement Combined With Biologically Oriented Preparation Technique to Correct Volumetric Bone Defects: A Clinical Case Report

Journal of Oral Implantology ◽

10.1563/aaid-joi-d-17-00067 ◽

2017 ◽

Vol 43 (4) ◽

pp. 307-313 ◽

Cited By ~ 1

Author(s):

Davide Rancitelli ◽

Pier Paolo Poli ◽

Marco Cicciù ◽

Francesco Lini ◽

Rachele Roncucci ◽

...

Keyword(s):

Case Report ◽

Soft Tissue ◽

Preparation Technique ◽

Present Case Report ◽

Sinus Floor Elevation ◽

Implant Placement ◽

Posterior Maxilla ◽

Sinus Floor ◽

And Function ◽

Tissue Enhancement

The aim of the present case report was to illustrate how to obtain an ideal alveolar ridge contour by means of peri-implant soft-tissue management combined with the prosthetic approach of the biologically oriented preparation technique (BOPT). A patient presenting a moderate vertical and horizontal bone loss in the posterior maxilla was treated with sinus floor elevation and simultaneous implant placement. During the reentry procedure, the horizontal defect was corrected with an apically repositioned flap combined with a connective tissue graft. To increase the volume of the interimplant papillae, a pedunculated flap originating from the primary flap was turned within the interimplant space. BOPT one-time abutments have been employed to maximize the space available for the papilla-like tissues. A focused and combined surgical and prosthetic procedure has permitted enhancement of both peri-implant esthetics and function without the need for further invasive and costly bone regeneration techniques.

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Soft tissue enhancement around dental implants

Periodontology 2000 ◽

10.1111/j.1600-0757.2008.00256.x ◽

2008 ◽

Vol 47 (1) ◽

pp. 113-132 ◽

Cited By ~ 41

Author(s):

Patrick Palacci ◽

Hessam Nowzari

Keyword(s):

Soft Tissue ◽

Dental Implants ◽

Tissue Enhancement

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Biomechanical Nasal Anatomy Applied to Open Preservation Rhinoplasty

Facial Plastic Surgery ◽

10.1055/s-0040-1715622 ◽

2021 ◽

Author(s):

Abdulkadir Goksel ◽

Yves Saban ◽

Khanh Ngoc Tran

Keyword(s):

Soft Tissue ◽

Functional Result ◽

Open Approach ◽

Anatomical Structures ◽

Surgical Safety ◽

Soft Tissue Envelope ◽

Nasal Anatomy ◽

Tip Plasty ◽

Safety Knowledge ◽

Preservation Technique

AbstractPreservation rhinoplasty is a new way to reshape the nose by preserving the dorsum, nasal ligaments, soft tissue envelope, and muscles. This new concept provides the opportunity to achieve a more natural aesthetic and functional result. To achieve a good aesthetic and functional outcome while maintaining surgical safety, knowledge of the relevant anatomy is key. This is especially true for the preservation rhinoplasty technique, where a firm grasp of the anatomy of the nasal soft tissue and bony–cartilaginous framework is critical. The preservation technique is made more accessible by the open approach, which provides an opportunity for the deformity to be clearly visualized from the tip of the nose and the dorsum. Furthermore, tip plasty is easier to perform under direct vision, which is an advantage of the open approach. The goal of this article is therefore to make clear all the important anatomical structures and their relevance to the surgical steps taken when performing the open preservation rhinoplasty technique.

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Bone Regeneration and Soft Tissue Enhancement Around Zygomatic Implants: Retrospective Case Series

Materials ◽

10.3390/ma13071577 ◽

2020 ◽

Vol 13 (7) ◽

pp. 1577

Author(s):

Miguel Peñarrocha-Diago ◽

Juan Carlos Bernabeu-Mira ◽

Alberto Fernández-Ruíz ◽

Carlos Aparicio ◽

David Peñarrocha-Oltra

Keyword(s):

Soft Tissue ◽

Bone Regeneration ◽

Maxillary Sinusitis ◽

Case Series ◽

Bone Width ◽

Zygomatic Implants ◽

Palatal Bone ◽

Zygomatic Implant ◽

Tissue Enhancement

Purpose: To present a case series of zygomatic implants combined with bone regeneration and soft tissue enhancement techniques to reduce the risk of biological delayed complications such as maxillary sinusitis and soft tissue recession. Materials and methods: Zygomatic implants placed simultaneously with different bone regeneration techniques (buccal, palatal and buccal-palatal bone regeneration) and soft tissue enhancement techniques (pediculate and free connective tissue graft) were followed for at least 12 months. The following information was collected: patient age and sex, number of zygomatic implants, zygomatic implant success rate, zygomatic implant position according to classification of the Zygomatic Anatomy Guide Approach (ZAGA), sinus membrane perforation, type and outcome of the bone regeneration or the soft tissue enhancement technique, bone gain (width and length along the zygomatic implant) and keratinized buccal mucosa width, duration of follow-up, loading protocol (immediate or delayed) and biological complications (maxillary sinusitis and soft tissue recession). Results: Thirty-one zygomatic implants placed in 19 patients were included. All implants were successful and none of the implants presented biological complications. The bone regeneration technique was successful in 30 of 31 cases with a mean palatal bone width of 3 mm, buccal bone width of 2.65 mm, palatal bone length of 6.5 mm and buccal bone length of 8.3 mm. The success rate of soft tissue enhancement was 100% and it established at least 2 mm of keratinized buccal mucosa width in all implants. Conclusions: Within the limitations of the present study, bone regeneration and soft tissue enhancement techniques were useful to establish more favorable conditions of the peri-implant tissues around zygomatic implants. This could prevent biological complications such as maxillary sinusitis and soft tissue recessions. Prospective and randomized controlled clinical trials with longer follow-up periods are advisable.

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