Clinical Outcome of a New Surgical Technique for the Treatment of Peri-Implant Dehiscence in the Esthetic Area. A Case Report
This study describes the clinical and esthetic outcome of n apical surgical treatment on peri-implant soft tissue dehiscence in an implant with a poor prognosis in the esthetic area. The patient presented a compromised situation of clinical attachment loss both in the 1.2 implant and in the adjacent...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2021-05-01
|
| Series: | Applied Sciences |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2076-3417/11/11/4781 |
| _version_ | 1797532974565031936 |
|---|---|
| author | Norberto Quispe-López Carmen García-Faria Jesús Mena-Álvarez Yasmina Guadilla Pablo Garrido Martínez Javier Montero |
| author_facet | Norberto Quispe-López Carmen García-Faria Jesús Mena-Álvarez Yasmina Guadilla Pablo Garrido Martínez Javier Montero |
| author_sort | Norberto Quispe-López |
| collection | DOAJ |
| description | This study describes the clinical and esthetic outcome of n apical surgical treatment on peri-implant soft tissue dehiscence in an implant with a poor prognosis in the esthetic area. The patient presented a compromised situation of clinical attachment loss both in the 1.2 implant and in the adjacent teeth. A biphasic approach consisted firstly of a connective tissue graft accessed by apical and then, 11 months later, a palatal flap technique plus a connective tissue graft. After 20 months of healing, surgical approaches without vertical releasing incisions showed a gain in recession reduction over the implant ranging from 0.3 to 2.7 mm (CI 95%), in addition to a gain in width (2 mm) and thickness (2.3 mm) of the keratinized mucosa. With respect to the white esthetic score, 4 points were gained, and with respect to the pink esthetic score, 3 points were gained. With the use of the apical approach technique and the palatal flap technique, satisfactory results are obtained in the treatment of recessions on implants, improving the amount of keratinized mucosa and the esthetic result in an objective manner in the anterior area. |
| first_indexed | 2024-03-10T11:08:00Z |
| format | Article |
| id | doaj.art-13a7602bf96149f697f1d154e1e330a5 |
| institution | Directory Open Access Journal |
| issn | 2076-3417 |
| language | English |
| last_indexed | 2024-03-10T11:08:00Z |
| publishDate | 2021-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Applied Sciences |
| spelling | doaj.art-13a7602bf96149f697f1d154e1e330a52023-11-21T20:59:44ZengMDPI AGApplied Sciences2076-34172021-05-011111478110.3390/app11114781Clinical Outcome of a New Surgical Technique for the Treatment of Peri-Implant Dehiscence in the Esthetic Area. A Case ReportNorberto Quispe-López0Carmen García-Faria1Jesús Mena-Álvarez2Yasmina Guadilla3Pablo Garrido Martínez4Javier Montero5Department of Surgery, Faculty of Medicine, University of Salamanca, 37008 Salamanca, SpainFaculty of Health Sciences, Alfonso X el Sabio University, 28703 Madrid, SpainFaculty of Health Sciences, Alfonso X el Sabio University, 28703 Madrid, SpainDepartment of Surgery, Faculty of Medicine, University of Salamanca, 37008 Salamanca, SpainDepartment of Prosthesis, Faculty of Dentistry, Universidad Alfonso X el Sabio, 28703 Madrid, SpainDepartment of Surgery, Faculty of Medicine, University of Salamanca, 37008 Salamanca, SpainThis study describes the clinical and esthetic outcome of n apical surgical treatment on peri-implant soft tissue dehiscence in an implant with a poor prognosis in the esthetic area. The patient presented a compromised situation of clinical attachment loss both in the 1.2 implant and in the adjacent teeth. A biphasic approach consisted firstly of a connective tissue graft accessed by apical and then, 11 months later, a palatal flap technique plus a connective tissue graft. After 20 months of healing, surgical approaches without vertical releasing incisions showed a gain in recession reduction over the implant ranging from 0.3 to 2.7 mm (CI 95%), in addition to a gain in width (2 mm) and thickness (2.3 mm) of the keratinized mucosa. With respect to the white esthetic score, 4 points were gained, and with respect to the pink esthetic score, 3 points were gained. With the use of the apical approach technique and the palatal flap technique, satisfactory results are obtained in the treatment of recessions on implants, improving the amount of keratinized mucosa and the esthetic result in an objective manner in the anterior area.https://www.mdpi.com/2076-3417/11/11/4781dental implantsconnective tissue graftdehiscence coverageesthetic zoneapical approachPES/WES |
| spellingShingle | Norberto Quispe-López Carmen García-Faria Jesús Mena-Álvarez Yasmina Guadilla Pablo Garrido Martínez Javier Montero Clinical Outcome of a New Surgical Technique for the Treatment of Peri-Implant Dehiscence in the Esthetic Area. A Case Report Applied Sciences dental implants connective tissue graft dehiscence coverage esthetic zone apical approach PES/WES |
| title | Clinical Outcome of a New Surgical Technique for the Treatment of Peri-Implant Dehiscence in the Esthetic Area. A Case Report |
| title_full | Clinical Outcome of a New Surgical Technique for the Treatment of Peri-Implant Dehiscence in the Esthetic Area. A Case Report |
| title_fullStr | Clinical Outcome of a New Surgical Technique for the Treatment of Peri-Implant Dehiscence in the Esthetic Area. A Case Report |
| title_full_unstemmed | Clinical Outcome of a New Surgical Technique for the Treatment of Peri-Implant Dehiscence in the Esthetic Area. A Case Report |
| title_short | Clinical Outcome of a New Surgical Technique for the Treatment of Peri-Implant Dehiscence in the Esthetic Area. A Case Report |
| title_sort | clinical outcome of a new surgical technique for the treatment of peri implant dehiscence in the esthetic area a case report |
| topic | dental implants connective tissue graft dehiscence coverage esthetic zone apical approach PES/WES |
| url | https://www.mdpi.com/2076-3417/11/11/4781 |
| work_keys_str_mv | AT norbertoquispelopez clinicaloutcomeofanewsurgicaltechniqueforthetreatmentofperiimplantdehiscenceintheestheticareaacasereport AT carmengarciafaria clinicaloutcomeofanewsurgicaltechniqueforthetreatmentofperiimplantdehiscenceintheestheticareaacasereport AT jesusmenaalvarez clinicaloutcomeofanewsurgicaltechniqueforthetreatmentofperiimplantdehiscenceintheestheticareaacasereport AT yasminaguadilla clinicaloutcomeofanewsurgicaltechniqueforthetreatmentofperiimplantdehiscenceintheestheticareaacasereport AT pablogarridomartinez clinicaloutcomeofanewsurgicaltechniqueforthetreatmentofperiimplantdehiscenceintheestheticareaacasereport AT javiermontero clinicaloutcomeofanewsurgicaltechniqueforthetreatmentofperiimplantdehiscenceintheestheticareaacasereport |