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KMID : 0355620200460060417
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Journal of Korean Association of Oral and Maxillofacial Surgeons
2020 Volume.46 No. 6 p.417 ~ p.421
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Retrospective case series analysis of vestibuloplasty with free gingival graft and titanium mesh around dental implant
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Ku Jeong-Kui
Leem Dae-Ho
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Abstract
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Objectives: The purpose of this paper is to introduce an effective technique to easily obtain adequate amounts of keratinized gingiva and vestibular depth.
Materials and Methods: Free gingiva (vertical height 10 mm) was harvested on the palatal mucosa and a partial thickness flap was elevated on the recipient site with same width as the free gingiva graft. After a conventional suture, a titanium mesh covered the graft and was fixed with miniscrews.
Titanium mesh was removed 4.1±2.5 weeks after surgery. The amount of keratinized gingiva and vestibular depth was measured at the final follow-up.
Results: Nine patients (males 4, females 5; 53.9±14.1 years) who underwent bone graft surgery before vestibuloplasty were included. No free gingival graft failure or complications were encountered in any of the patients. The relapse rate for vestibular depth (23.3%) was lower than that for keratinized gingiva (48.3%) after 34.4±14.4 months (P=0.010).
Conclusion: Vestibuloplasty with a free gingival graft using titanium mesh could be achieved with an acceptable amount of keratinized gingiva and an appropriate vestibular depth around dental implant.
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KEYWORD
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Dental implant, Tissue graft, Titanium, Vestibuloplasty
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