Simultaneous placement of an interpositional free gingival graft with nonsubmerged implant placement.
10.5051/jpis.2014.44.2.94
- Author:
Joo Yeon SOHN
1
;
Jung Chul PARK
;
Kyoo Sung CHO
;
Chang Sung KIM
Author Information
1. Department of Periodontology, Research Institute for Periodontal Regeneration, Yonsei University College of Dentistry, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Free gingival graft;
Interpositional onlay graft;
Keratinized tissue;
Nonsubmerged implant
- MeSH:
Dental Implants;
Follow-Up Studies;
Gingiva;
Humans;
Oral Hygiene;
Palate;
Transplants*
- From:Journal of Periodontal & Implant Science
2014;44(2):94-99
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: Various surgical techniques target achieving adequate keratinized tissue around dental implants; however, these techniques are usually performed before implant placement or upon the exposure of submerged implants. The aim of this case report is to describe a simultaneous placement of an interpositional free gingival graft (iFGG) with that of nonsubmerged implants in a patient lacking keratinized tissue and to assess the long-term outcome of this grafted gingiva. METHODS: A wedge-shaped free gingnival graft (FGG), including an epithelium-connective tissue (E-C) portion and a connective-tissue-only (CT) portion, was harvested from the palate. The CT portion was inserted under the buccal flap, and the E-C portion was secured tightly around the implants and to the lingual flap. RESULTS: At the 8-year follow-up, the gingival graft remained firmly attached and was well maintained, with no conspicuous shrinkage or reported discomfort during oral hygiene procedures. The use of an iFGG at a nonsubmerged implant placement minimizes the required number of surgical steps and patient discomfort while providing adequate buccal keratinized tissue. CONCLUSIONS: Therefore, the technique could be considered an alternative method in increasing the keratinized tissue for cases that have a minimal amount of keratinized tissue.
