Absceso gingival después de aumento de reborde alveolar con técnica en rollo modificada. Reporte de caso / Gingival Abscess after Alveolar Ridge Increase with Modified Roll Technique: A Case Report

Abstract

RESUMEN. Antecedentes: La técnica en rollo modificado se ha utilizado ampliamente para mejorar el aspecto estético de las deficiencias de rebordes alveolares durante el tratamiento de rehabilitación y disminuir dolor posoperatorio. Objetivo: Describir un caso clínico en el que se realizó un aumento del reborde alveolar por medio de técnica en rollo modificada y se presentó un absceso durante las primeras semanas posoperatorias. Se describe también manejo clínico del caso. Resultados: Después del diagnóstico clínico y microbiológico, se realizó tratamiento antibiótico. En el control a los cuatro meses se observó resolución completa del absceso.ABSTRACT. Background: The modified roll technique has been widely used to improve the aesthetic appearance of alveolar ridge deficiencies during the oral rehabilitation treatments and to reduce postoperative pain. Purpose: To describe a case of alveolar ridge increase through modified roll technique and an abscess that occurred during the initial postoperative weeks. The clinical treatment of the case is also described. Results: After clinical and microbiological diagnosis, the patient underwent antibiotic therapy. Four-month follow-up showed complete resolution of the abscess.

Modified Roll Flap Technique for Horizontal Ridge Augmentation - A Case Report

“…The surgical technique of choice depends on the size and the position of the volume deficiency [4,6]. These techniques comprise subgingival connective tissue grafting, roll technique, modified roll technique, mixed grafts, among others [4,6,10].…”

“…The main indication for the use of the Modified Roll Flap technique is the treatment of mild and moderate Miller Class I between the premolar area except at midline due to the presence of papillae [3,[10][11]13]. This kind of flap allows the soft tissue to reach an ideal contour in order to place dental implants [15].…”