Free Gingival Graft to Increase Keratinized Mucosa after Placing of Mandibular Fixed Implant-Supported Prosthesis
Identifieur interne : 006E73 ( Ncbi/Merge ); précédent : 006E72; suivant : 006E74Free Gingival Graft to Increase Keratinized Mucosa after Placing of Mandibular Fixed Implant-Supported Prosthesis
Auteurs : Danny Omar Mendoza Marin [Brésil] ; Andressa Rosa Perin Leite [Brésil] ; Lélis Gustavo Nícoli [Brésil] ; Claudio Marcantonio [Brésil] ; Marco Antonio Compagnoni [Brésil] ; Elcio Marcantonio [Brésil]Source :
- Case Reports in Dentistry [ 2090-6447 ] ; 2017.
Abstract
Insufficiently keratinized tissue can be increased surgically by free gingival grafting. The presence or reconstruction of keratinized mucosa around the implant can facilitate restorative procedure and allow the maintenance of an oral hygiene routine without irritation or discomfort to the patient. The aim of this clinical case report is to describe an oral rehabilitation procedure of an edentulous patient with absence of keratinized mucosa in the interforaminal area, using a free gingival graft associated with a mandibular fixed implant-supported prosthesis. The treatment included the manufacturing of a maxillary complete denture and a mandibular fixed implant-supported prosthesis followed by a free gingival graft to increase the width of the mandibular keratinized mucosa. Free gingival graft was obtained from the palate and grafted on the buccal side of interforaminal area. The follow-up of 02 and 12 months after mucogingival surgery showed that the free gingival graft promoted peri-implant health, hygiene, and patient comfort.
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DOI: 10.1155/2017/5796768
PubMed: 28293441
PubMed Central: 5331288
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type="main">Free Gingival Graft to Increase Keratinized Mucosa after Placing of Mandibular Fixed Implant-Supported Prosthesis</title><author><name sortKey="Marin, Danny Omar Mendoza" sort="Marin, Danny Omar Mendoza" uniqKey="Marin D" first="Danny Omar Mendoza" last="Marin">Danny Omar Mendoza Marin</name><affiliation wicri:level="2"><nlm:aff id="I1">Araraquara Dental School, Department of Dental Materials and Prosthodontics, Universidade Estadual Paulista (UNESP), Araraquara, SP, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Araraquara Dental School, Department of Dental Materials and Prosthodontics, Universidade Estadual Paulista (UNESP), Araraquara, SP</wicri:regionArea><placeName><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Leite, Andressa Rosa Perin" sort="Leite, Andressa Rosa Perin" uniqKey="Leite A" first="Andressa Rosa Perin" last="Leite">Andressa Rosa Perin Leite</name><affiliation wicri:level="2"><nlm:aff id="I1">Araraquara Dental School, Department of Dental Materials and Prosthodontics, Universidade Estadual Paulista (UNESP), Araraquara, SP, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Araraquara Dental School, Department of Dental Materials and Prosthodontics, Universidade Estadual Paulista (UNESP), Araraquara, SP</wicri:regionArea><placeName><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Nicoli, Lelis Gustavo" sort="Nicoli, Lelis Gustavo" uniqKey="Nicoli L" first="Lélis Gustavo" last="Nícoli">Lélis Gustavo Nícoli</name><affiliation wicri:level="2"><nlm:aff id="I2">Araraquara Dental School, Department of Diagnosis and Surgery, Universidade Estadual Paulista (UNESP), Araraquara, SP, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Araraquara Dental School, Department of Diagnosis and Surgery, Universidade Estadual Paulista (UNESP), Araraquara, SP</wicri:regionArea><placeName><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Marcantonio, Claudio" sort="Marcantonio, Claudio" uniqKey="Marcantonio C" first="Claudio" last="Marcantonio">Claudio Marcantonio</name><affiliation wicri:level="2"><nlm:aff id="I3">Araraquara Dental School, Department of Postgraduate Studies in Implantology, University Center of Araraquara (UNIARA), Araraquara, SP, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Araraquara Dental School, Department of Postgraduate Studies in Implantology, University Center of Araraquara (UNIARA), Araraquara, SP</wicri:regionArea><placeName><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Compagnoni, Marco Antonio" sort="Compagnoni, Marco Antonio" uniqKey="Compagnoni M" first="Marco Antonio" last="Compagnoni">Marco Antonio Compagnoni</name><affiliation wicri:level="2"><nlm:aff id="I1">Araraquara Dental School, Department of Dental Materials and Prosthodontics, Universidade Estadual Paulista (UNESP), Araraquara, SP, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Araraquara Dental School, Department of Dental Materials and Prosthodontics, Universidade Estadual Paulista (UNESP), Araraquara, SP</wicri:regionArea><placeName><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Marcantonio, Elcio" sort="Marcantonio, Elcio" uniqKey="Marcantonio E" first="Elcio" last="Marcantonio">Elcio Marcantonio</name><affiliation wicri:level="2"><nlm:aff id="I2">Araraquara Dental School, Department of Diagnosis and Surgery, Universidade Estadual Paulista (UNESP), Araraquara, SP, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Araraquara Dental School, Department of Diagnosis and Surgery, Universidade Estadual Paulista (UNESP), Araraquara, SP</wicri:regionArea><placeName><region type="state">État de São Paulo</region></placeName></affiliation></author></analytic><series><title level="j">Case Reports in Dentistry</title><idno type="ISSN">2090-6447</idno><idno type="eISSN">2090-6455</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Insufficiently keratinized tissue can be increased surgically by free gingival grafting. The presence or reconstruction of keratinized mucosa around the implant can facilitate restorative procedure and allow the maintenance of an oral hygiene routine without irritation or discomfort to the patient. The aim of this clinical case report is to describe an oral rehabilitation procedure of an edentulous patient with absence of keratinized mucosa in the interforaminal area, using a free gingival graft associated with a mandibular fixed implant-supported prosthesis. The treatment included the manufacturing of a maxillary complete denture and a mandibular fixed implant-supported prosthesis followed by a free gingival graft to increase the width of the mandibular keratinized mucosa. Free gingival graft was obtained from the palate and grafted on the buccal side of interforaminal area. The follow-up of 02 and 12 months after mucogingival surgery showed that the free gingival graft promoted peri-implant health, hygiene, and patient comfort.<italic> Clinical Significance</italic>. 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Case Rep Dent</journal-id><journal-id journal-id-type="iso-abbrev">Case Rep Dent</journal-id><journal-id journal-id-type="publisher-id">CRID</journal-id><journal-title-group><journal-title>Case Reports in Dentistry</journal-title></journal-title-group><issn pub-type="ppub">2090-6447</issn><issn pub-type="epub">2090-6455</issn><publisher><publisher-name>Hindawi Publishing Corporation</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">28293441</article-id><article-id pub-id-type="pmc">5331288</article-id><article-id pub-id-type="doi">10.1155/2017/5796768</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>Free Gingival Graft to Increase Keratinized Mucosa after Placing of Mandibular Fixed Implant-Supported Prosthesis</article-title></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0001-8055-9653</contrib-id><name><surname>Marin</surname><given-names>Danny Omar Mendoza</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0002-3703-2714</contrib-id><name><surname>Leite</surname><given-names>Andressa Rosa Perin</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0003-4413-1822</contrib-id><name><surname>Nícoli</surname><given-names>Lélis Gustavo</given-names></name><xref ref-type="aff" rid="I2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0003-2179-2273</contrib-id><name><surname>Marcantonio</surname><given-names>Claudio</given-names></name><xref ref-type="aff" rid="I3"><sup>3</sup></xref></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0001-8439-0816</contrib-id><name><surname>Compagnoni</surname><given-names>Marco Antonio</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib><contrib contrib-type="author"><name><surname>Marcantonio</surname><given-names>Elcio</given-names><suffix>Jr.</suffix></name><xref ref-type="aff" rid="I2"><sup>2</sup></xref></contrib></contrib-group><aff id="I1"><sup>1</sup>Araraquara Dental School, Department of Dental Materials and Prosthodontics, Universidade Estadual Paulista (UNESP), Araraquara, SP, Brazil</aff><aff id="I2"><sup>2</sup>Araraquara Dental School, Department of Diagnosis and Surgery, Universidade Estadual Paulista (UNESP), Araraquara, SP, Brazil</aff><aff id="I3"><sup>3</sup>Araraquara Dental School, Department of Postgraduate Studies in Implantology, University Center of Araraquara (UNIARA), Araraquara, SP, Brazil</aff><author-notes><corresp id="cor1">*Marco Antonio Compagnoni: <email>compagno@foar.unesp.br</email></corresp><fn fn-type="other"><p>Academic Editor: Jamil A. Shibli</p></fn></author-notes><pub-date pub-type="ppub"><year>2017</year></pub-date><pub-date pub-type="epub"><day>15</day><month>2</month><year>2017</year></pub-date><volume>2017</volume><elocation-id>5796768</elocation-id><history><date date-type="received"><day>27</day><month>12</month><year>2016</year></date><date date-type="accepted"><day>24</day><month>1</month><year>2017</year></date></history><permissions><copyright-statement>Copyright © 2017 Danny Omar Mendoza Marin et al.</copyright-statement><copyright-year>2017</copyright-year><license xlink:href="https://creativecommons.org/licenses/by/4.0/"><license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><p>Insufficiently keratinized tissue can be increased surgically by free gingival grafting. The presence or reconstruction of keratinized mucosa around the implant can facilitate restorative procedure and allow the maintenance of an oral hygiene routine without irritation or discomfort to the patient. The aim of this clinical case report is to describe an oral rehabilitation procedure of an edentulous patient with absence of keratinized mucosa in the interforaminal area, using a free gingival graft associated with a mandibular fixed implant-supported prosthesis. The treatment included the manufacturing of a maxillary complete denture and a mandibular fixed implant-supported prosthesis followed by a free gingival graft to increase the width of the mandibular keratinized mucosa. Free gingival graft was obtained from the palate and grafted on the buccal side of interforaminal area. The follow-up of 02 and 12 months after mucogingival surgery showed that the free gingival graft promoted peri-implant health, hygiene, and patient comfort.<italic> Clinical Significance</italic>. The free gingival graft is an effective treatment in increasing the width of mandibular keratinized mucosa on the buccal side of the interforaminal area and provided an improvement in maintaining the health of peri-implant tissues which allows for better oral hygiene. </p></abstract></article-meta></front><floats-group><fig id="fig1" orientation="portrait" position="float"><label>Figure 1</label><caption><p>Initial appearance of the gingival tissue around the implants.</p></caption><graphic xlink:href="CRID2017-5796768.001"></graphic></fig><fig id="fig2" orientation="portrait" position="float"><label>Figure 2</label><caption><p>Checking the fitting of prostheses in mouth.</p></caption><graphic xlink:href="CRID2017-5796768.002"></graphic></fig><fig id="fig3" orientation="portrait" position="float"><label>Figure 3</label><caption><p>Plaque accumulation on the prosthetic components after 30 days of installation of definitive prostheses.</p></caption><graphic xlink:href="CRID2017-5796768.003"></graphic></fig><fig id="fig4" orientation="portrait" position="float"><label>Figure 4</label><caption><p>Partial-thickness flap on the buccal side of the interforaminal area around the implants.</p></caption><graphic xlink:href="CRID2017-5796768.004"></graphic></fig><fig id="fig5" orientation="portrait" position="float"><label>Figure 5</label><caption><p>A sterile paper to make a map with the size of the recipient bed and transferred to the palate.</p></caption><graphic xlink:href="CRID2017-5796768.005"></graphic></fig><fig id="fig6" orientation="portrait" position="float"><label>Figure 6</label><caption><p>Free gingival graft placed around the implants.</p></caption><graphic xlink:href="CRID2017-5796768.006"></graphic></fig><fig id="fig7" orientation="portrait" position="float"><label>Figure 7</label><caption><p>Surgical cement in the recipient bed and stabilized on the mandibular prosthesis.</p></caption><graphic xlink:href="CRID2017-5796768.007"></graphic></fig><fig id="fig8" orientation="portrait" position="float"><label>Figure 8</label><caption><p>Six months of follow-up after surgery showed a good health of peri-implant tissues and absence of plaque accumulation.</p></caption><graphic xlink:href="CRID2017-5796768.008"></graphic></fig></floats-group></pmc><affiliations><list><country><li>Brésil</li></country><region><li>État de São Paulo</li></region></list><tree><country name="Brésil"><region name="État de São Paulo"><name sortKey="Marin, Danny Omar Mendoza" sort="Marin, Danny Omar Mendoza" uniqKey="Marin D" first="Danny Omar Mendoza" last="Marin">Danny Omar Mendoza Marin</name></region><name sortKey="Compagnoni, Marco Antonio" sort="Compagnoni, Marco Antonio" uniqKey="Compagnoni M" first="Marco Antonio" last="Compagnoni">Marco Antonio Compagnoni</name><name sortKey="Leite, Andressa Rosa Perin" sort="Leite, Andressa Rosa Perin" uniqKey="Leite A" first="Andressa Rosa Perin" last="Leite">Andressa Rosa Perin Leite</name><name sortKey="Marcantonio, Claudio" sort="Marcantonio, Claudio" uniqKey="Marcantonio C" first="Claudio" last="Marcantonio">Claudio Marcantonio</name><name sortKey="Marcantonio, Elcio" sort="Marcantonio, Elcio" uniqKey="Marcantonio E" first="Elcio" last="Marcantonio">Elcio Marcantonio</name><name sortKey="Nicoli, Lelis Gustavo" sort="Nicoli, Lelis Gustavo" uniqKey="Nicoli L" first="Lélis Gustavo" last="Nícoli">Lélis Gustavo Nícoli</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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