title: The Dermal Apron Technique for Immediate Implant Socket Management: A Novel Technique.
abstract: With immediate implant placement and provisionalization (IIP) in the esthetic zone, measures to counter hard and soft tissue loss are frequently necessary. To reduce the morbidity associated with bone and connective tissue procurement, various exogenous materials are utilized. The "Dermal Apron Technique" presented in this article demonstrates the use of a composite bone particulate (allograft/xenograft) plus a dermal allograft, adapted around screw-retained temporary crowns and secured within a subperiosteal pouch. The purpose is to augment the thickness of peri-implant mucosa for the purpose of preserving ridge dimensions and preventing mucosal recession. Controlled studies are required to further support its use. Clinical significance: Soft tissue health and harmony are critical for successful implant therapy in the esthetic regions of the dentition. Often, autogenous soft tissue grafts are used to augment peri-implant soft tissues. The Dermal Apron Technique is a method, that in specific situations, obviates the need for autogenous grafting. This reduces treatment time and morbidity associated with procurement of these grafts. The Dermal Apron Technique is used simultaneous with immediate placement and provisionalization and can improve long-term esthetic outcomes for patients.
authors: Clinical Associate Professor, Department of Graduate Periodontology and Dental Implant Surgery, University of Pennsylvania, Private Practice, 509 York Rd., Jenkintown, PA, 19046, USA.
authors: Barry P
authors: BP
authors: Levin
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015921:Dental Implants; D004955:Esthetics, Dental; D005260:Female; D006801:Humans
chemical_list: D015921:Dental Implants