A simple approach to preserve keratinized mucosa around implants using a pre-fabricated implant-retained stent: a report of two cases
Identifieur interne : 004E43 ( Main/Exploration ); précédent : 004E42; suivant : 004E44A simple approach to preserve keratinized mucosa around implants using a pre-fabricated implant-retained stent: a report of two cases
Auteurs : Jung-Chul Park [Corée du Sud] ; Ki-Bin Yang [Corée du Sud] ; Youna Choi [Corée du Sud] ; Yong-Tae Kim [Corée du Sud] ; Ui-Won Jung [Corée du Sud] ; Chang-Sung Kim [Corée du Sud] ; Kyoo-Sung Cho [Corée du Sud] ; Jung-Kiu Chai [Corée du Sud] ; Chong-Kwan Kim [Corée du Sud] ; Seong-Ho Choi [Corée du Sud]Source :
- Journal of Periodontal & Implant Science [ 2093-2278 ] ; 2010.
Abstract
There is no consensus regarding the relationship between the width of keratinized mucosa and the health of peri-implant tissues, but clinicians prefer to provide enough keratinized mucosa around dental implants for long-term implant maintenance. An apically positioned flap during second stage implant surgery is the chosen method of widening the keratinized zone in simple procedures. However, the routine suture techniques used with this method tend to apply tension over the provisional abutments and decrease pre-existing keratinized mucosa. To overcome this shortcoming, a pre-fabricated implant-retained stent was designed to apply vertical pressure on the labial flap and stabilize it in a bucco-apical direction to create a wide keratinized mucous zone.
During second stage implant surgery, an apically displaced, partial thickness flap with a lingualized incision was retracted. A pre-fabricated stent was clipped over the abutments after connecting to the provisional abutment. Vertical pressure was applied to displace the labial flap. No suture was required and the stent was removed after 10 days.
A clinically relevant amount of keratinized mucosa was achieved around the dental implants. Buccally displaced keratinized mucosa was firmly attached to the underlying periosteum. A slight shrinkage of the keratinized zone was noted after the healing period in one patient, but no discomfort during oral hygiene was reported. Clinically healthy gingiva with enough keratinized mucosa was achieved in both patients.
The proposed technique is a simple and time-effective technique for preserving and providing keratinized tissue around dental implants
Url:
DOI: 10.5051/jpis.2010.40.4.194
PubMed: 20827329
PubMed Central: 2931308
Affiliations:
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<front><div type="abstract" xml:lang="en"><sec><title>Purpose</title>
<p>There is no consensus regarding the relationship between the width of keratinized mucosa and the health of peri-implant tissues, but clinicians prefer to provide enough keratinized mucosa around dental implants for long-term implant maintenance. An apically positioned flap during second stage implant surgery is the chosen method of widening the keratinized zone in simple procedures. However, the routine suture techniques used with this method tend to apply tension over the provisional abutments and decrease pre-existing keratinized mucosa. To overcome this shortcoming, a pre-fabricated implant-retained stent was designed to apply vertical pressure on the labial flap and stabilize it in a bucco-apical direction to create a wide keratinized mucous zone.</p>
</sec>
<sec><title>Methods</title>
<p>During second stage implant surgery, an apically displaced, partial thickness flap with a lingualized incision was retracted. A pre-fabricated stent was clipped over the abutments after connecting to the provisional abutment. Vertical pressure was applied to displace the labial flap. No suture was required and the stent was removed after 10 days.</p>
</sec>
<sec><title>Results</title>
<p>A clinically relevant amount of keratinized mucosa was achieved around the dental implants. Buccally displaced keratinized mucosa was firmly attached to the underlying periosteum. A slight shrinkage of the keratinized zone was noted after the healing period in one patient, but no discomfort during oral hygiene was reported. Clinically healthy gingiva with enough keratinized mucosa was achieved in both patients.</p>
</sec>
<sec><title>Conclusions</title>
<p>The proposed technique is a simple and time-effective technique for preserving and providing keratinized tissue around dental implants</p>
</sec>
</div>
</front>
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<author><name sortKey="Larkin, L" uniqKey="Larkin L">L Larkin</name>
</author>
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<author><name sortKey="Loe, H" uniqKey="Loe H">H Loe</name>
</author>
</analytic>
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</author>
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</author>
</analytic>
</biblStruct>
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</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Wennstrom, Jl" uniqKey="Wennstrom J">JL Wennstrom</name>
</author>
<author><name sortKey="Bengazi, F" uniqKey="Bengazi F">F Bengazi</name>
</author>
<author><name sortKey="Lekholm, U" uniqKey="Lekholm U">U Lekholm</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Bengazi, F" uniqKey="Bengazi F">F Bengazi</name>
</author>
<author><name sortKey="Wennstrom, Jl" uniqKey="Wennstrom J">JL Wennstrom</name>
</author>
<author><name sortKey="Lekholm, U" uniqKey="Lekholm U">U Lekholm</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Sclar, Ag" uniqKey="Sclar A">AG Sclar</name>
</author>
</analytic>
</biblStruct>
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</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Sanders, B" uniqKey="Sanders B">B Sanders</name>
</author>
<author><name sortKey="Starshak, Tj" uniqKey="Starshak T">TJ Starshak</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Firtell, Dn" uniqKey="Firtell D">DN Firtell</name>
</author>
<author><name sortKey="Oatis, Gw" uniqKey="Oatis G">GW Oatis</name>
</author>
<author><name sortKey="Curtis, Ta" uniqKey="Curtis T">TA Curtis</name>
</author>
<author><name sortKey="Sugg, We" uniqKey="Sugg W">WE Sugg</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Hughes, Wg" uniqKey="Hughes W">WG Hughes</name>
</author>
<author><name sortKey="Howard, Cw" uniqKey="Howard C">CW Howard</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Nystrom, E" uniqKey="Nystrom E">E Nystrom</name>
</author>
<author><name sortKey="Kahnberg, Ke" uniqKey="Kahnberg K">KE Kahnberg</name>
</author>
<author><name sortKey="Albrektsson, T" uniqKey="Albrektsson T">T Albrektsson</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Brygider, Rm" uniqKey="Brygider R">RM Brygider</name>
</author>
<author><name sortKey="Bain, Ca" uniqKey="Bain C">CA Bain</name>
</author>
</analytic>
</biblStruct>
</listBibl>
</div1>
</back>
</TEI>
<affiliations><list><country><li>Corée du Sud</li>
</country>
<region><li>Région capitale de Séoul</li>
</region>
<settlement><li>Séoul</li>
</settlement>
</list>
<tree><country name="Corée du Sud"><region name="Région capitale de Séoul"><name sortKey="Park, Jung Chul" sort="Park, Jung Chul" uniqKey="Park J" first="Jung-Chul" last="Park">Jung-Chul Park</name>
</region>
<name sortKey="Chai, Jung Kiu" sort="Chai, Jung Kiu" uniqKey="Chai J" first="Jung-Kiu" last="Chai">Jung-Kiu Chai</name>
<name sortKey="Cho, Kyoo Sung" sort="Cho, Kyoo Sung" uniqKey="Cho K" first="Kyoo-Sung" last="Cho">Kyoo-Sung Cho</name>
<name sortKey="Choi, Seong Ho" sort="Choi, Seong Ho" uniqKey="Choi S" first="Seong-Ho" last="Choi">Seong-Ho Choi</name>
<name sortKey="Choi, Youna" sort="Choi, Youna" uniqKey="Choi Y" first="Youna" last="Choi">Youna Choi</name>
<name sortKey="Jung, Ui Won" sort="Jung, Ui Won" uniqKey="Jung U" first="Ui-Won" last="Jung">Ui-Won Jung</name>
<name sortKey="Kim, Chang Sung" sort="Kim, Chang Sung" uniqKey="Kim C" first="Chang-Sung" last="Kim">Chang-Sung Kim</name>
<name sortKey="Kim, Chong Kwan" sort="Kim, Chong Kwan" uniqKey="Kim C" first="Chong-Kwan" last="Kim">Chong-Kwan Kim</name>
<name sortKey="Kim, Yong Tae" sort="Kim, Yong Tae" uniqKey="Kim Y" first="Yong-Tae" last="Kim">Yong-Tae Kim</name>
<name sortKey="Yang, Ki Bin" sort="Yang, Ki Bin" uniqKey="Yang K" first="Ki-Bin" last="Yang">Ki-Bin Yang</name>
</country>
</tree>
</affiliations>
</record>
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