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KMID : 0363020140440020094
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Journal of Korean Academy of Periodontology
2014 Volume.44 No. 2 p.94 ~ p.99
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Simultaneous placement of an interpositional free gingival graft with nonsubmerged implant placement
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Sohn Joo-Yeon
Park Jung-Chul
Cho Kyoo-Sung
Kim Chang-Sung
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Abstract
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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.
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KEYWORD
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Free gingival graft , Interpositional onlay graft , Keratinized tissue , Nonsubmerged implant
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