J Periodontal Implant Sci.  2010 Jun;40(3):139-143. 10.5051/jpis.2010.40.3.139.

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

• Lee EK
• Herr Y
• Kwon YH
• Shin SI
• Lee DY
• Chung JH

• KMID: 2212141
• DOI: http://doi.org/10.5051/jpis.2010.40.3.139

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.

Keyword

Dental esthetics; Dental implants; Dental papilla

MeSH Terms

Adult
Dental Implants
Dental Papilla
Esthetics
Esthetics, Dental
Humans
Sutures
Tooth
Dental Implants