scholarly journals Peri-Implant Soft Tissue Augmentation

2021 ◽  
Author(s):  
Marko Blašković ◽  
Dorotea Blašković

The peri-implant soft tissue (PIS) augmentation procedure has become an integral part of implant-prosthetic rehabilitation. Minimal width of keratinized mucosa (KM) of 2 mm is deemed necessary to facilitate oral hygiene maintenance around the implant and provide hard and soft peri-implant tissue stability. PIS thickness of at least 2 mm is recommended to achieve the esthetic appearance and prevent recessions around implant prosthetic rehabilitation. The autogenous soft tissue grafts can be divided into two groups based on their histological composition—free gingival graft (FGG) and connective tissue graft (CTG). FGG graft is used mainly to increase the width of keratinized mucosa while CTG augment the thickness of PIS. Both grafts are harvested from the same anatomical region—the palate. Alternatively, they can be harvested from the maxillary tuberosity. Soft tissue grafts can be also harvested as pedicle grafts, in case when the soft tissue graft remains attached to the donor site by one side preserving the blood supply from the donor region. Clinically this will result in less shrinkage of the graft postoperatively, improving the outcome of the augmentation procedure. To bypass the drawback connected with FGG or CTG harvesting, substitutional soft tissue grafts have been developed.

2019 ◽  
Vol 3 (1) ◽  
Author(s):  
Peter Windisch ◽  
Balint Molnar

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.


2019 ◽  
Vol 45 (6) ◽  
pp. 483-485
Author(s):  
Joshua Segal ◽  
Monika Patel ◽  
Henry Woo ◽  
Rachel Pruitt

Subepithelial gingival connective tissue grafts are a common surgical procedure performed in periodontal and implant surgery. This versatile procedure has many indications including tooth root coverage, thickening of gingiva, and improvement of the quality of the crestal gingiva. Several techniques have been described for graft harvest from the palate. Reported complications from these techniques include pain, inflammation, bleeding, flap necrosis, and infection in the donor site. We report a previously unpublished complication following subepithelial gingival connective tissue graft from the palate: pseudoaneurysm of the greater palatine vessel.


2019 ◽  
Vol 30 (3) ◽  
pp. 1907145 ◽  
Author(s):  
Sarah Van Belleghem ◽  
Leopoldo Torres ◽  
Marco Santoro ◽  
Bhushan Mahadik ◽  
Arley Wolfand ◽  
...  

2008 ◽  
Vol 9 (4) ◽  
pp. 99-106 ◽  
Author(s):  
Clemens Walter ◽  
Leonard Büttel ◽  
Roland Weiger

Abstract Aim The purpose of this report is to present the use of different soft tissue grafting procedures for surgical ridge augmentation. Background Multiple augmentative procedures may be indicated for the esthetic reconstruction of edentulous alveolar ridge deformities due to unpredictable shrinkage of augmented tissues. Report A 38-year-old woman with a moderate Class III alveolar ridge defect received periodontal plastic surgery treatment using a combined onlay-interpositional graft procedure and a subepithelial connective tissue graft. Summary This case illustrates the aesthetic reconstruction of a moderate alveolar ridge defect using a twostep approach. Clinical Significance Using different soft tissue grafting procedures might be helpful in planning and treating moderate alveolar ridge defects. The time for remodelling of the augmented tissues needs to be respected before the final prosthesis is placed. Citation Walter C, Büttel L, Weiger R. Localized Alveolar Ridge Augmentation Using a Two-step Approach with Different Soft Tissue Grafts: A Clinical Report. J Contemp Dent Pract 2008 May; (9)4:099-106.


2005 ◽  
Vol 19 (03) ◽  
pp. 251-260 ◽  
Author(s):  
Michael S Stosich ◽  
Jeremy J Mao

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