Dental Implant Replacement Followed by Xenogen Bone Graft, Conjunctive Graft and Roll Technique: A Case Report
Amanda Bandeira de Almeida*, Bueno TO, Câmara-Souza MB, Casati MZ, Nociti-Jr FH and Casarin RC
Department of Prosthodontics and Periodontology, Piracicaba Dental School, Piracicaba, São Paulo, Brazil
*Corresponding Author: Amanda Bandeira de Almeida, Department of Prosthodontics and Periodontology, Piracicaba Dental School, Piracicaba, São Paulo, Brazil.
Received: April 07, 2021; Published: May 17, 2021
Implant therapy in the anterior maxilla is a challenge for clinicians due tissue deficiencies often caused by various conditions, as well as the higher esthetic demanded by patients. Adequate marginal gingival contour and sufficient keratinized tissue width around the implant-supported prosthesis are essential for the maintenance of peri-implant health and optimal esthetics. Thus, this study reports a two-steps technique to improve implant position and increase the thickness of keratinized mucosa after aesthetics complaints. A 53-year-old female patient, after using an external hexagon-type dental implant in the central incisor region (tooth 21) for more than 10 years, presented a complaint of depression in the region of the implant. For optimal esthetic outcome, the implant was removed and an internal-hexagon implant was placed in a more adequate position, and xenogen graft surgery with connective tissue was performed. In a second step, it was applied the Pouch roll technique in order to increase the thickness of the keratinized mucosa in the same region. Thus, soft-tissue augmentation should be considered in implant-supported rehabilitation, being a reproducible, predictable, and less invasive procedure for small defects.
Keywords: Periodontics; Prostheses and Implants
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