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2022 Dec;26(4):288-294. 10.32542/implantology.2022029.
Surgical Approach for Facial Peri-implant Soft Tissue Deficiency in the Esthetic Area
- Affiliations
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- 1Assistant Professor, Department of Periodontology, Dental and Life Science Institute, School of Dentistry, Pusan National University and Dental Research Institute, Pusan National University Dental Hospital, Yangsan, Korea
- 2Professor, Department of Periodontology, Dental and Life Science Institute, School of Dentistry, Pusan National University and Dental Research Institute, Pusan National University Dental Hospital, Yangsan, Korea
- 3Associate Professor, Department of Periodontology, Dental and Life Science Institute, School of Dentistry, Pusan National University and Dental Research Institute, Pusan National University Dental Hospital, Yangsan, Korea
- KMID: 2538540
- DOI: http://doi.org/10.32542/implantology.2022029
Abstract
- Peri-implant soft tissue dehiscence/deficiency (PSTD) is an apical shift in the peri-implant facial soft tissue margin, including mid-facial recession, mucosal recession or dehiscence, soft-tissue dehiscence/deficiency, or a soft-tissue defect. PSTD of maxillary anterior implants can be resolved with soft tissue grafting to improve esthetics of the implant-supported crown and health of peri-implant tissue. Here, we report two cases of efficiently managed PSTD using different surgical procedures in the esthetic area. The soft tissue augmentation technique, including subepithelial connective tissue grafting with a coronally advanced flap and free gingival graft, could achieve healthy peri-implant tissue and esthetics of the implant-supported crown through coverage of PSTD. Clinicians should prevent PSTD by fully considering the factors that increase the risk of PSTD before implant placement.
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