Techniques to preserve keratinized peri-implant mucosa in CT-guided oral implant surgery

Guided implant dentistry using computed tomographic (CT) scans, virtual planning software and mucosa-supported surgical templates is an upcoming technology with the potential for more predictable and less invasive implant placement. While generally associated with a flapless approach, soft tissue pu...

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Main Author: Bernhard Pommer
Format: Article
Language:English
Published: MDPI AG 2012-02-01
Series:Surgical Techniques Development
Subjects:
Online Access:http://www.pagepress.org/journals/index.php/std/article/view/3499
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author Bernhard Pommer
author_facet Bernhard Pommer
author_sort Bernhard Pommer
collection DOAJ
description Guided implant dentistry using computed tomographic (CT) scans, virtual planning software and mucosa-supported surgical templates is an upcoming technology with the potential for more predictable and less invasive implant placement. While generally associated with a flapless approach, soft tissue punching and removal may not be indicated if available width of keratinized mucosa is limited prior to implant surgery. Two techniques to preserve keratinized peri-implant mucosa (Punch Reposition Technique and Topical Flap Technique) are presented and indications outlined. Appreciation of soft tissue conditions as well as functional and esthetic consequences of mucosal deficiencies (mucosal-driven approach) is recommended to supplement bone- and prosthetic-driven considerations in guided oral implant placement (Trinity Approach).
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spelling doaj.art-c9c3ace451014a4f87bb7f2deaf0e9d22024-08-03T01:53:25ZengMDPI AGSurgical Techniques Development2038-95742038-95822012-02-0121e7e710.4081/std.2012.e71971Techniques to preserve keratinized peri-implant mucosa in CT-guided oral implant surgeryBernhard Pommer0Department of Oral Surgery, Vienna Medical UniversityGuided implant dentistry using computed tomographic (CT) scans, virtual planning software and mucosa-supported surgical templates is an upcoming technology with the potential for more predictable and less invasive implant placement. While generally associated with a flapless approach, soft tissue punching and removal may not be indicated if available width of keratinized mucosa is limited prior to implant surgery. Two techniques to preserve keratinized peri-implant mucosa (Punch Reposition Technique and Topical Flap Technique) are presented and indications outlined. Appreciation of soft tissue conditions as well as functional and esthetic consequences of mucosal deficiencies (mucosal-driven approach) is recommended to supplement bone- and prosthetic-driven considerations in guided oral implant placement (Trinity Approach).http://www.pagepress.org/journals/index.php/std/article/view/3499minimally invasive surgery, surgical template, guided implant placement, attached mucosa, flapless surgery.
spellingShingle Bernhard Pommer
Techniques to preserve keratinized peri-implant mucosa in CT-guided oral implant surgery
Surgical Techniques Development
minimally invasive surgery, surgical template, guided implant placement, attached mucosa, flapless surgery.
title Techniques to preserve keratinized peri-implant mucosa in CT-guided oral implant surgery
title_full Techniques to preserve keratinized peri-implant mucosa in CT-guided oral implant surgery
title_fullStr Techniques to preserve keratinized peri-implant mucosa in CT-guided oral implant surgery
title_full_unstemmed Techniques to preserve keratinized peri-implant mucosa in CT-guided oral implant surgery
title_short Techniques to preserve keratinized peri-implant mucosa in CT-guided oral implant surgery
title_sort techniques to preserve keratinized peri implant mucosa in ct guided oral implant surgery
topic minimally invasive surgery, surgical template, guided implant placement, attached mucosa, flapless surgery.
url http://www.pagepress.org/journals/index.php/std/article/view/3499
work_keys_str_mv AT bernhardpommer techniquestopreservekeratinizedperiimplantmucosainctguidedoralimplantsurgery