Simultaneous placement of an interpositional free gingival graft with nonsubmerged implant placement
Identifieur interne : 000405 ( Main/Exploration ); précédent : 000404; suivant : 000406Simultaneous placement of an interpositional free gingival graft with nonsubmerged implant placement
Auteurs : Joo-Yeon Sohn [Corée du Sud] ; Jung-Chul Park [Corée du Sud] ; Kyoo-Sung Cho [Corée du Sud] ; Chang-Sung Kim [Corée du Sud]Source :
- Journal of Periodontal & Implant Science [ 2093-2278 ] ; 2014.
Abstract
Various surgical techniques target achieving adequate keratinized tissue around dental implants; however, these techniques are usually performed before implant placement or upon the exposure of submerged implants. The aim of this case report is to describe a simultaneous placement of an interpositional free gingival graft (iFGG) with that of nonsubmerged implants in a patient lacking keratinized tissue and to assess the long-term outcome of this grafted gingiva.
A wedge-shaped free gingnival graft (FGG), including an epithelium-connective tissue (E-C) portion and a connective-tissue-only (CT) portion, was harvested from the palate. The CT portion was inserted under the buccal flap, and the E-C portion was secured tightly around the implants and to the lingual flap.
At the 8-year follow-up, the gingival graft remained firmly attached and was well maintained, with no conspicuous shrinkage or reported discomfort during oral hygiene procedures. The use of an iFGG at a nonsubmerged implant placement minimizes the required number of surgical steps and patient discomfort while providing adequate buccal keratinized tissue.
Therefore, the technique could be considered an alternative method in increasing the keratinized tissue for cases that have a minimal amount of keratinized tissue.
Url:
DOI: 10.5051/jpis.2014.44.2.94
PubMed: 24778904
PubMed Central: 3999358
Affiliations:
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Park</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Periodontology, Research Institute for Periodontal Regeneration, Yonsei University College of Dentistry, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Periodontology, Research Institute for Periodontal Regeneration, Yonsei University College of Dentistry, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Cho, Kyoo Sung" sort="Cho, Kyoo Sung" uniqKey="Cho K" first="Kyoo-Sung" last="Cho">Kyoo-Sung Cho</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Periodontology, Research Institute for Periodontal Regeneration, Yonsei University College of Dentistry, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Periodontology, 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J:simultaneous:placement:of</idno><idno type="wicri:Area/Main/Merge">000407</idno><idno type="wicri:Area/Main/Curation">000405</idno><idno type="wicri:Area/Main/Exploration">000405</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Simultaneous placement of an interpositional free gingival graft with nonsubmerged implant placement</title><author><name sortKey="Sohn, Joo Yeon" sort="Sohn, Joo Yeon" uniqKey="Sohn J" first="Joo-Yeon" last="Sohn">Joo-Yeon Sohn</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Periodontology, Research Institute for Periodontal Regeneration, Yonsei University College of Dentistry, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Periodontology, Research Institute for Periodontal Regeneration, Yonsei University College of Dentistry, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Park, Jung Chul" sort="Park, Jung Chul" uniqKey="Park J" first="Jung-Chul" last="Park">Jung-Chul Park</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Periodontology, Research Institute for Periodontal Regeneration, Yonsei University College of Dentistry, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Periodontology, Research Institute for Periodontal Regeneration, Yonsei University College of Dentistry, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Cho, Kyoo Sung" sort="Cho, Kyoo Sung" uniqKey="Cho K" first="Kyoo-Sung" last="Cho">Kyoo-Sung Cho</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Periodontology, Research Institute for Periodontal Regeneration, Yonsei University College of Dentistry, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Periodontology, Research Institute for Periodontal Regeneration, Yonsei University College of Dentistry, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Kim, Chang Sung" sort="Kim, Chang Sung" uniqKey="Kim C" first="Chang-Sung" last="Kim">Chang-Sung Kim</name><affiliation wicri:level="3"><nlm:aff id="A2">Department of Periodontology, Research Institute for Periodontal Regeneration, Oral Science Research Center, Yonsei University College of Dentistry, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Periodontology, Research Institute for Periodontal Regeneration, Oral Science Research Center, Yonsei University College of Dentistry, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author></analytic><series><title level="j">Journal of Periodontal & Implant Science</title><idno type="ISSN">2093-2278</idno><idno type="eISSN">2093-2286</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Purpose</title><p>Various surgical techniques target achieving adequate keratinized tissue around dental implants; however, these techniques are usually performed before implant placement or upon the exposure of submerged implants. The aim of this case report is to describe a simultaneous placement of an interpositional free gingival graft (iFGG) with that of nonsubmerged implants in a patient lacking keratinized tissue and to assess the long-term outcome of this grafted gingiva.</p></sec><sec><title>Methods</title><p>A wedge-shaped free gingnival graft (FGG), including an epithelium-connective tissue (E-C) portion and a connective-tissue-only (CT) portion, was harvested from the palate. The CT portion was inserted under the buccal flap, and the E-C portion was secured tightly around the implants and to the lingual flap.</p></sec><sec><title>Results</title><p>At the 8-year follow-up, the gingival graft remained firmly attached and was well maintained, with no conspicuous shrinkage or reported discomfort during oral hygiene procedures. The use of an iFGG at a nonsubmerged implant placement minimizes the required number of surgical steps and patient discomfort while providing adequate buccal keratinized tissue.</p></sec><sec><title>Conclusions</title><p>Therefore, the technique could be considered an alternative method in increasing the keratinized tissue for cases that have a minimal amount of keratinized tissue.</p></sec><sec><title>Graphical Abstract</title><p><graphic xlink:href="jpis-44-94-ab001.jpg" position="float" orientation="portrait"></graphic></p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Ericsson, I" uniqKey="Ericsson I">I Ericsson</name></author><author><name sortKey="Lindhe, J" uniqKey="Lindhe J">J Lindhe</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Salonen, Ma" uniqKey="Salonen M">MA Salonen</name></author><author><name sortKey="Oikarinen, K" uniqKey="Oikarinen K">K 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Sohn</name></region><name sortKey="Cho, Kyoo Sung" sort="Cho, Kyoo Sung" uniqKey="Cho K" first="Kyoo-Sung" last="Cho">Kyoo-Sung Cho</name><name sortKey="Kim, Chang Sung" sort="Kim, Chang Sung" uniqKey="Kim C" first="Chang-Sung" last="Kim">Chang-Sung Kim</name><name sortKey="Park, Jung Chul" sort="Park, Jung Chul" uniqKey="Park J" first="Jung-Chul" last="Park">Jung-Chul Park</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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