title: Aesthetic flap design for correction of buccal fenestration defects.
abstract: Flapless immediate implant surgery has been proposed as a means of reducing the surgical trauma to soft tissue and maintaining natural gingival anatomy. The aesthetic outcome in such cases may, however, be jeopardized when localized horizontal and vertical deficiencies occur. In order to correct such deficiencies, a novel flap design was developed that protected the soft tissue that had the most significant impact on the patient's appearance. This aesthetic buccal flap (ABF) was created coronally so that the supraosseous soft tissue remained undisturbed and allowed the use of guided bone regeneration techniques to correct apical dehiscences. The likelihood of obtaining an optimal aesthetic result was, therefore, enhanced.
authors.affiliation: Boston University, Massachusetts, USA. m.steigmann@t-online.de
authors.forename: Marius
authors.initials: M
authors.lastname: Steigmann
mesh_terms: D000328:Adult; D016301:Alveolar Bone Loss / Q000601:surgery*; D001047:Apicoectomy / Q000009:adverse effects; D001861:Bone Regeneration / Q000502:physiology; D016025:Bone Transplantation; D003094:Collagen; D003751:Dental Fistula / Q000601:surgery*; D019250:Dental Implants, Single-Tooth; D004955:Esthetics, Dental; D005260:Female; D005881:Gingiva / Q000473:pathology; D016557:Guided Tissue Regeneration, Periodontal / Q000379:methods; D006801:Humans; D008297:Male; D008439:Maxillary Diseases / Q000601:surgery; D008567:Membranes, Artificial; D010483:Periapical Diseases / Q000601:surgery*; D013524:Surgical Flaps / Q000145:classification* / Q000473:pathology; D014081:Tooth Extraction; D014082:Tooth Fractures / Q000601:surgery; D014092:Tooth Root / Q000293:injuries; D020390:Tooth Socket / Q000601:surgery
chemical_list: D008567:Membranes, Artificial; D003094:Collagen