Correction of a Mucogingival Defect Using an Implant-Retained Postoperative Stent in a Severely Resorbed Mandible: Case Report
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Data
2008-12-01
Autores
Nascimento de Melo, Luiz Gustavo
Ciporkin, Frederico
Maia Neto, Jose Sergio
Fraga de Almeida, Ana Lucia Pompeia
Scarelli Lopes, Jose Fernando
Marcio Figueiredo, Caio
Nagata, Maria José Hitomi [UNESP]
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Quintessence Publishing Co Inc
Resumo
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. (Int J Periodontics Restorative Dent 2008;28:617-623.)
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International Journal of Periodontics & Restorative Dentistry. Hanover Park: Quintessence Publishing Co Inc, v. 28, n. 6, p. 617-623, 2008.