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I-shaped incisions for papilla reconstruction in second stage implant surgery

Identifieur interne : 002F31 ( Ncbi/Merge ); précédent : 002F30; suivant : 002F32

I-shaped incisions for papilla reconstruction in second stage implant surgery

Auteurs : Eun-Kwon Lee [Corée du Sud] ; Yeek Herr [Corée du Sud] ; Young-Hyuk Kwon [Corée du Sud] ; Seung-Il Shin [Corée du Sud] ; Dong-Yeol Lee [Corée du Sud] ; Jong-Hyuk Chung [Corée du Sud]

Source :

RBID : PMC:2895520

Abstract

Purpose

Pink gingival esthetic especially on the anterior teeth has been an important success criterion in implant-supported restoration. Inter-implant papillae are a critical factor for implant esthetics, and various techniques for inter-implant papilla reconstruction have been introduced. The aim of this study is to suggest and evaluate a surgical technique for reconstructing inter-implant papillae.

Methods

A 28-year-old man had an implant placed on the #13 and #14 area. Four months after implant placement, a second stage surgery was planned for inter-implant papilla reconstruction. At the time of the abutment connection, I-type incisions were performed on the #13i & #14i area followed by full-thickness flap elevation and connection of a healing abutment on underlying fixtures without suture.

Results

Two weeks after the second stage implant surgery, soft tissue augmentation between the two implants was achieved.

Conclusions

I-shaped incisions for papilla reconstruction performed during the second stage implant surgery were useful for inter-implant papilla reconstruction and showed a good esthetic result.


Url:
DOI: 10.5051/jpis.2010.40.3.139
PubMed: 20607059
PubMed Central: 2895520

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PMC:2895520

Le document en format XML

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<p>Pink gingival esthetic especially on the anterior teeth has been an important success criterion in implant-supported restoration. Inter-implant papillae are a critical factor for implant esthetics, and various techniques for inter-implant papilla reconstruction have been introduced. The aim of this study is to suggest and evaluate a surgical technique for reconstructing inter-implant papillae.</p>
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<p>A 28-year-old man had an implant placed on the #13 and #14 area. Four months after implant placement, a second stage surgery was planned for inter-implant papilla reconstruction. At the time of the abutment connection, I-type incisions were performed on the #13i & #14i area followed by full-thickness flap elevation and connection of a healing abutment on underlying fixtures without suture.</p>
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<p>I-shaped incisions for papilla reconstruction performed during the second stage implant surgery were useful for inter-implant papilla reconstruction and showed a good esthetic result.</p>
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</article-categories>
<title-group>
<article-title>I-shaped incisions for papilla reconstruction in second stage implant surgery</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Lee</surname>
<given-names>Eun-Kwon</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Herr</surname>
<given-names>Yeek</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kwon</surname>
<given-names>Young-Hyuk</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Shin</surname>
<given-names>Seung-Il</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Lee</surname>
<given-names>Dong-Yeol</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Chung</surname>
<given-names>Jong-Hyuk</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
</contrib-group>
<aff id="A1">
<label>1</label>
Department of Periodontology, Kyung Hee University School of Dentistry, Seoul, Korea.</aff>
<aff id="A2">
<label>2</label>
Institute of Oral Biology, Kyung Hee University School of Dentistry, Seoul, Korea.</aff>
<author-notes>
<corresp>Correspondence: Jong-Hyuk Chung. Department of Periodontology, Kyung Hee University School of Dentistry, 1 Hoegi-dong, Dongdaemun-gu, Seoul 130-701, Korea.
<email>chungjh@khu.ac.kr</email>
, Tel: +82-2-958-9380, Fax: +82-2-958-9387</corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>6</month>
<year>2010</year>
</pub-date>
<pub-date pub-type="epub">
<day>25</day>
<month>6</month>
<year>2010</year>
</pub-date>
<volume>40</volume>
<issue>3</issue>
<fpage>139</fpage>
<lpage>143</lpage>
<history>
<date date-type="received">
<day>02</day>
<month>4</month>
<year>2010</year>
</date>
<date date-type="accepted">
<day>17</day>
<month>5</month>
<year>2010</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright © 2010 Korean Academy of Periodontology</copyright-statement>
<copyright-year>2010</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/3.0/">
<license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution License (
<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/3.0/">http://creativecommons.org/licenses/by/3.0/</ext-link>
).</license-p>
</license>
</permissions>
<abstract>
<sec>
<title>Purpose</title>
<p>Pink gingival esthetic especially on the anterior teeth has been an important success criterion in implant-supported restoration. Inter-implant papillae are a critical factor for implant esthetics, and various techniques for inter-implant papilla reconstruction have been introduced. The aim of this study is to suggest and evaluate a surgical technique for reconstructing inter-implant papillae.</p>
</sec>
<sec>
<title>Methods</title>
<p>A 28-year-old man had an implant placed on the #13 and #14 area. Four months after implant placement, a second stage surgery was planned for inter-implant papilla reconstruction. At the time of the abutment connection, I-type incisions were performed on the #13i & #14i area followed by full-thickness flap elevation and connection of a healing abutment on underlying fixtures without suture.</p>
</sec>
<sec>
<title>Results</title>
<p>Two weeks after the second stage implant surgery, soft tissue augmentation between the two implants was achieved.</p>
</sec>
<sec>
<title>Conclusions</title>
<p>I-shaped incisions for papilla reconstruction performed during the second stage implant surgery were useful for inter-implant papilla reconstruction and showed a good esthetic result.</p>
</sec>
</abstract>
<kwd-group>
<kwd>Dental esthetics</kwd>
<kwd>Dental implants</kwd>
<kwd>Dental papilla</kwd>
</kwd-group>
</article-meta>
</front>
<floats-group>
<fig id="F1" position="float">
<label>Figure 1</label>
<caption>
<p>Preoperative panoramic view. Residual root on #13 is observed.</p>
</caption>
<graphic xlink:href="jpis-40-139-g001"></graphic>
</fig>
<fig id="F2" position="float">
<label>Figure 2</label>
<caption>
<p>Four months after implant placement: facial view.</p>
</caption>
<graphic xlink:href="jpis-40-139-g002"></graphic>
</fig>
<fig id="F3" position="float">
<label>Figure 3</label>
<caption>
<p>Four months after implant placement: occlusal view.</p>
</caption>
<graphic xlink:href="jpis-40-139-g003"></graphic>
</fig>
<fig id="F4" position="float">
<label>Figure 4</label>
<caption>
<p>Schematic drawing of I-type incision. Labial horizontal incision: 0.5-1 mm inside from the border of implant. Vertical incision: middle line. Palatal horizontal incision: border of implant.</p>
</caption>
<graphic xlink:href="jpis-40-139-g004"></graphic>
</fig>
<fig id="F5" position="float">
<label>Figure 5</label>
<caption>
<p>I-incision on #13i.</p>
</caption>
<graphic xlink:href="jpis-40-139-g005"></graphic>
</fig>
<fig id="F6" position="float">
<label>Figure 6</label>
<caption>
<p>Healing abutment connection on #13i.</p>
</caption>
<graphic xlink:href="jpis-40-139-g006"></graphic>
</fig>
<fig id="F7" position="float">
<label>Figure 7</label>
<caption>
<p>I-incision on #14i.</p>
</caption>
<graphic xlink:href="jpis-40-139-g007"></graphic>
</fig>
<fig id="F8" position="float">
<label>Figure 8</label>
<caption>
<p>Healing abutment connection on #14i: occlusal view.</p>
</caption>
<graphic xlink:href="jpis-40-139-g008"></graphic>
</fig>
<fig id="F9" position="float">
<label>Figure 9</label>
<caption>
<p>Healing abutment connection on #14i: facial view.</p>
</caption>
<graphic xlink:href="jpis-40-139-g009"></graphic>
</fig>
<fig id="F10" position="float">
<label>Figure 10</label>
<caption>
<p>Two weeks after second-stage surgery: occlusal view.</p>
</caption>
<graphic xlink:href="jpis-40-139-g010"></graphic>
</fig>
<fig id="F11" position="float">
<label>Figure 11</label>
<caption>
<p>Two weeks after second-stage surgery: facial view.</p>
</caption>
<graphic xlink:href="jpis-40-139-g011"></graphic>
</fig>
</floats-group>
</pmc>
<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="Lee, Eun Kwon" sort="Lee, Eun Kwon" uniqKey="Lee E" first="Eun-Kwon" last="Lee">Eun-Kwon Lee</name>
</region>
<name sortKey="Chung, Jong Hyuk" sort="Chung, Jong Hyuk" uniqKey="Chung J" first="Jong-Hyuk" last="Chung">Jong-Hyuk Chung</name>
<name sortKey="Chung, Jong Hyuk" sort="Chung, Jong Hyuk" uniqKey="Chung J" first="Jong-Hyuk" last="Chung">Jong-Hyuk Chung</name>
<name sortKey="Herr, Yeek" sort="Herr, Yeek" uniqKey="Herr Y" first="Yeek" last="Herr">Yeek Herr</name>
<name sortKey="Herr, Yeek" sort="Herr, Yeek" uniqKey="Herr Y" first="Yeek" last="Herr">Yeek Herr</name>
<name sortKey="Kwon, Young Hyuk" sort="Kwon, Young Hyuk" uniqKey="Kwon Y" first="Young-Hyuk" last="Kwon">Young-Hyuk Kwon</name>
<name sortKey="Kwon, Young Hyuk" sort="Kwon, Young Hyuk" uniqKey="Kwon Y" first="Young-Hyuk" last="Kwon">Young-Hyuk Kwon</name>
<name sortKey="Lee, Dong Yeol" sort="Lee, Dong Yeol" uniqKey="Lee D" first="Dong-Yeol" last="Lee">Dong-Yeol Lee</name>
<name sortKey="Shin, Seung Il" sort="Shin, Seung Il" uniqKey="Shin S" first="Seung-Il" last="Shin">Seung-Il Shin</name>
</country>
</tree>
</affiliations>
</record>

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