Correction of a mucogingival defect using an implant-retained postoperative stent in a severely resorbed mandible: case report.
This case report describes a technique that uses a palatal mucosal graft and an acrylic resin postoperative stent in an attempt to increase the layer of keratinized tissue around osseointegrated implants in an atrophic mandible. During second-stage surgery, a split-thickness labial flap is reflected and apically repositioned by being sutured onto the periosteum and connective tissue. A palatal mucosal graft is then sutured onto the recipient site. The stent is worn for at least 4 weeks following surgery. This procedure helps to eliminate mobility of the mucosa in the area, deepen the vestibule, and prevent muscle reinsertion.
de Melo
Luiz Gustavo Nascimento
LG
Hospital for Rehabilitation of Craniofacial Anomalies, Bauru, Brazil. luiznsc@terra.com.br
Ciporkin
Frederico
F
Neto
José Sérgio Maia
JS
de Almeida
Ana Lúcia Pompéia Fraga
AL
Lopes
José Fernando Scarelli
JF
Figueiredo
Caio Márcio
CM
Nagata
Maria José Hitomi
MJ
D000180:Acrylic Resins; D001862:Bone Resorption / Q000601:surgery*; D003238:Connective Tissue / Q000601:surgery; D000044:Dental Abutments; D015921:Dental Implants; D005500:Follow-Up Studies; D005893:Gingivoplasty / Q000379:methods*; D006801:Humans; D008336:Mandibular Diseases / Q000601:surgery*; D009061:Mouth Mucosa / Q000601:surgery*; D016348:Osseointegration / Q000502:physiology; D010521:Periosteum / Q000601:surgery; D015607:Stents; D013524:Surgical Flaps; D013536:Suture Techniques; D014727:Vestibuloplasty / Q000379:methods
D000180:Acrylic Resins; D015921:Dental Implants