Free gingival graft immobilization: a pilot study on a newly designed stent.
Identifieur interne : 002D85 ( Ncbi/Curation ); précédent : 002D84; suivant : 002D86Free gingival graft immobilization: a pilot study on a newly designed stent.
Auteurs : Ali Hassani [Iran] ; Roozbeh Sadrimanesh ; Seyed Aliakbar Vahdati ; Pooyan Sadr-EshkevariSource :
- The Journal of oral implantology [ 0160-6972 ] ; 2010.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Conception d'appareillage, Endoprothèses, Femelle, Gencive (transplantation), Humains, Jeune adulte, Mandibule (), Muqueuse de la bouche (transplantation), Mâchoire édentée (), Mâle, Piliers dentaires, Pose d'implant dentaire endo-osseux, Procédures de chirurgie maxillofaciale et buccodentaire (instrumentation), Projets pilotes, Récession gingivale (), Sujet âgé.
- MESH :
- instrumentation : Adulte, Adulte d'âge moyen, Conception d'appareillage, Endoprothèses, Femelle, Gencive, Humains, Jeune adulte, Mandibule, Muqueuse de la bouche, Mâchoire édentée, Mâle, Piliers dentaires, Pose d'implant dentaire endo-osseux, Procédures de chirurgie maxillofaciale et buccodentaire, Projets pilotes, Récession gingivale, Sujet âgé.
English descriptors
- KwdEn :
- Adult, Aged, Dental Abutments, Dental Implantation, Endosseous, Equipment Design, Female, Gingiva (transplantation), Gingival Recession (surgery), Humans, Jaw, Edentulous (surgery), Male, Mandible (surgery), Middle Aged, Mouth Mucosa (transplantation), Oral Surgical Procedures (instrumentation), Pilot Projects, Stents, Young Adult.
- MESH :
- instrumentation : Oral Surgical Procedures.
- surgery : Gingival Recession, Jaw, Edentulous, Mandible.
- transplantation : Gingiva, Mouth Mucosa.
- Adult, Aged, Dental Abutments, Dental Implantation, Endosseous, Equipment Design, Female, Humans, Male, Middle Aged, Pilot Projects, Stents, Young Adult.
Abstract
The presence of adequate gingiva with firm attachment to the underlying periosteum and bone is important for the overall long-term success of implant-supported oral rehabilitation. In the presence of an atrophic edentulous mandible, peri-implant soft tissue management is a challenging task. Therefore, mucosal grafts are sometimes necessary in patients with insufficient attached gingiva around abutments. Immobilization of this graft is mandatory for its survival. The study design included 5 edentulous patients with inadequate attached gingival zone, all candidates for implant surgery and free gingival graft. In the first surgery the implants were inserted, and in the second operation a free gingival graft was obtained from the palate and sutured to the mandibular site. A newly designed stent was applied for the stabilization of the graft. Two to 3 weeks after the second surgery, the stents were removed and the attached gingival width was measured. Long-term evaluations were performed to follow the survival of the graft. All grafts were intact at the time of stent removal. In all cases, the long-term evaluations revealed adequate attached gingiva around the implant. It may be concluded that immobilization of free gingival graft in the recipient site increases its success rate and its survival rate. The application of the newly designed stent can serve as a proper and easy immobilizer for peri-implant soft tissue management.
DOI: 10.1563/AAID-JOI-D-09-00034
PubMed: 20426589
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sortKey="Sadr Eshkevari, Pooyan" sort="Sadr Eshkevari, Pooyan" uniqKey="Sadr Eshkevari P" first="Pooyan" last="Sadr-Eshkevari">Pooyan Sadr-Eshkevari</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2010">2010</date><idno type="RBID">pubmed:20426589</idno><idno type="pmid">20426589</idno><idno type="doi">10.1563/AAID-JOI-D-09-00034</idno><idno type="wicri:Area/PubMed/Corpus">001A91</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001A91</idno><idno type="wicri:Area/PubMed/Curation">001A91</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001A91</idno><idno type="wicri:Area/PubMed/Checkpoint">001A91</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">001A91</idno><idno type="wicri:Area/Ncbi/Merge">002D85</idno><idno type="wicri:Area/Ncbi/Curation">002D85</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Free gingival graft immobilization: a pilot study on a newly designed stent.</title><author><name sortKey="Hassani, Ali" sort="Hassani, Ali" uniqKey="Hassani A" first="Ali" last="Hassani">Ali Hassani</name><affiliation wicri:level="1"><nlm:affiliation>Department of Oral and Maxillofacial Surgery, Azad University of Tehran, Tehran, Iran.</nlm:affiliation><country xml:lang="fr">Iran</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Azad University of Tehran, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author><author><name sortKey="Sadrimanesh, Roozbeh" sort="Sadrimanesh, Roozbeh" uniqKey="Sadrimanesh R" first="Roozbeh" last="Sadrimanesh">Roozbeh Sadrimanesh</name></author><author><name sortKey="Vahdati, Seyed Aliakbar" sort="Vahdati, Seyed Aliakbar" uniqKey="Vahdati S" first="Seyed Aliakbar" last="Vahdati">Seyed Aliakbar Vahdati</name></author><author><name sortKey="Sadr Eshkevari, Pooyan" sort="Sadr Eshkevari, Pooyan" uniqKey="Sadr Eshkevari P" first="Pooyan" last="Sadr-Eshkevari">Pooyan Sadr-Eshkevari</name></author></analytic><series><title level="j">The Journal of oral implantology</title><idno type="ISSN">0160-6972</idno><imprint><date when="2010" type="published">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Dental Abutments</term><term>Dental Implantation, Endosseous</term><term>Equipment Design</term><term>Female</term><term>Gingiva (transplantation)</term><term>Gingival Recession (surgery)</term><term>Humans</term><term>Jaw, Edentulous (surgery)</term><term>Male</term><term>Mandible (surgery)</term><term>Middle Aged</term><term>Mouth Mucosa (transplantation)</term><term>Oral Surgical Procedures (instrumentation)</term><term>Pilot Projects</term><term>Stents</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Conception d'appareillage</term><term>Endoprothèses</term><term>Femelle</term><term>Gencive (transplantation)</term><term>Humains</term><term>Jeune adulte</term><term>Mandibule ()</term><term>Muqueuse de la bouche (transplantation)</term><term>Mâchoire édentée ()</term><term>Mâle</term><term>Piliers dentaires</term><term>Pose d'implant dentaire endo-osseux</term><term>Procédures de chirurgie maxillofaciale et buccodentaire (instrumentation)</term><term>Projets pilotes</term><term>Récession gingivale ()</term><term>Sujet âgé</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Oral Surgical Procedures</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Gingival Recession</term><term>Jaw, Edentulous</term><term>Mandible</term></keywords><keywords scheme="MESH" qualifier="transplantation" xml:lang="en"><term>Gingiva</term><term>Mouth Mucosa</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Dental Abutments</term><term>Dental Implantation, Endosseous</term><term>Equipment Design</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Pilot Projects</term><term>Stents</term><term>Young Adult</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Conception d'appareillage</term><term>Endoprothèses</term><term>Femelle</term><term>Gencive</term><term>Humains</term><term>Jeune adulte</term><term>Mandibule</term><term>Muqueuse de la bouche</term><term>Mâchoire édentée</term><term>Mâle</term><term>Piliers dentaires</term><term>Pose d'implant dentaire endo-osseux</term><term>Procédures de chirurgie maxillofaciale et buccodentaire</term><term>Projets pilotes</term><term>Récession gingivale</term><term>Sujet âgé</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The presence of adequate gingiva with firm attachment to the underlying periosteum and bone is important for the overall long-term success of implant-supported oral rehabilitation. In the presence of an atrophic edentulous mandible, peri-implant soft tissue management is a challenging task. Therefore, mucosal grafts are sometimes necessary in patients with insufficient attached gingiva around abutments. Immobilization of this graft is mandatory for its survival. The study design included 5 edentulous patients with inadequate attached gingival zone, all candidates for implant surgery and free gingival graft. In the first surgery the implants were inserted, and in the second operation a free gingival graft was obtained from the palate and sutured to the mandibular site. A newly designed stent was applied for the stabilization of the graft. Two to 3 weeks after the second surgery, the stents were removed and the attached gingival width was measured. Long-term evaluations were performed to follow the survival of the graft. All grafts were intact at the time of stent removal. In all cases, the long-term evaluations revealed adequate attached gingiva around the implant. It may be concluded that immobilization of free gingival graft in the recipient site increases its success rate and its survival rate. The application of the newly designed stent can serve as a proper and easy immobilizer for peri-implant soft tissue management.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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