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KMID : 0602720220260040288
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Implantology
2022 Volume.26 No. 4 p.288 ~ p.294
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Surgical Approach for Facial Peri-implant Soft Tissue Deficiency in the Esthetic Area
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Kim Hyun-Joo
Lee Ju-Youn
Joo Ji-Young
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Abstract
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Peri-implant soft tissue dehiscence/deficiency (PSTD) is an apical shift in the peri-implant facial soft tissue margin, including mid-facial recession, mucosal recession or dehiscence, soft-tissue dehiscence/deficiency, or a soft-tissue defect. PSTD of maxillary anterior implants can be resolved with soft tissue grafting to improve esthetics of the implant-supported crown and health of peri-implant tissue. Here, we report two cases of efficiently managed PSTD using different surgical procedures in the esthetic area. The soft tissue augmentation technique, including subepithelial
connective tissue grafting with a coronally advanced flap and free gingival graft, could achieve healthy peri-implant tissue and esthetics of the implant-supported crown through coverage of PSTD. Clinicians should prevent PSTD by fully considering the factors that increase the risk of PSTD before implant placement.
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KEYWORD
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ental implants, Esthetics, Gingival recession, Peri-implantitis
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