title: Pouch roll technique for implant soft tissue augmentation: a variation of the modified roll technique.
abstract: This paper presents three cases of peri-implant mucosal defects that were successfully treated with a newly proposed "pouch roll" implant soft tissue augmentation technique. This procedure uses a de-epithelialized connective tissue layer during the first or second stage of implant surgery over the underlying dental implant without the need for sutures. At 2 weeks, healing was remarkable, with excellent plaque control. At 3 months, only minimal tissue shrinkage was evident. As a result, a 2- to 3-mm increase in the width of the keratinized tissue was noted around the augmented implant site. This technique is an atraumatic, versatile, and cost-effective surgical modality that enhances the peri-implant soft tissue over the ridge with a soft tissue thickness ≥ 3 mm. The pouch roll implant soft tissue augmentation procedure provides an easy and less traumatic correction of a mild to moderate buccal ridge deficiency by thickening the soft tissue around the dental implant.
authors.affiliation: Department of Periodontics, Dental School, University of Maryland, Baltimore, MD 21201, USA. sbpark1978@gmail.com
authors.forename: Sang-Hoon
authors.initials: SH
authors.lastname: Park
authors.forename: Hom-Lay
authors.initials: HL
authors.lastname: Wang
mesh_terms: D003238:Connective Tissue / Q000637:transplantation; D059605:Dental Implant-Abutment Design; D015921:Dental Implants; D005500:Follow-Up Studies; D005881:Gingiva / Q000473:pathology / Q000637:transplantation*; D005882:Gingival Diseases / Q000601:surgery; D005893:Gingivoplasty / Q000379:methods*; D006801:Humans; D007633:Keratins; D013524:Surgical Flaps / Q000145:classification*; D014945:Wound Healing / Q000502:physiology
chemical_list: D015921:Dental Implants; D007633:Keratins