Split pedicle roll envelope technique around implants and pontics: a prospective case series study

Man, Yi; Wu, Qingqing; Wang, T.; Gong, Ping; Gong, Ting; Qu, Yang

doi:10.1016/j.ijom.2015.04.012

Cited by 7 publications

(6 citation statements)

References 19 publications

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“…Both surgical and orthodontic management is designed to create the papillae in the presurgical or surgical phase. If there is a deficit of papillae during the stage-two surgery, then soft tissue grafting or vascularized interposition periosteal-connective tissue (VIP-CT) flap was recommended [ 9 – 11 ]. However, the management would be a great challenge to clinicians in posterior position.…”

Section: Introductionmentioning

confidence: 99%

Radiographic evaluation of a cross-shaped incision technique for thick-gingiva and thin-gingiva patients treated with implant-supported fixed prosthesis

et al. 2021

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Background To evaluate a cross-shaped incision technique for thick-gingiva and thin-gingiva patients treated with implant-supported fixed prosthesis. Methods Total 55 patients receiving cross-shaped incision were assigned into thick-gingiva group (29 cases) and thin-gingiva group (26 cases). Follow-up was performed at 3 and 12-month after final restoration. Results Mesial and distal papilla height was significantly greater in thick-gingiva group than thin-gingiva group at 3 and 12 months, while periodontal depth and crestal marginal bone level around implant had no significant difference between the two groups during follow-up. No case of recession of buccal marginal gingiva was observed in thick-gingiva group. However, the recession of marginal gingiva of buccal aspect of the crown was found in 5 patients (19.2%) with thin-gingiva. Conclusions The cross-shaped incision may be applied to reconstruct gingival papillae and avoid the gingival recession in patients with thick-gingiva phenotype. Trial registration This study was registered at ClinicalTrials.gov (registration number NCT04706078, date 12 January 2021, Retrospectively registered).

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Section: Introductionmentioning

confidence: 99%

Radiographic evaluation of a cross-shaped incision technique for thick-gingiva and thin-gingiva patients treated with implant-supported fixed prosthesis

et al. 2021

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“…The authors observed that the shrinkage of the graft and scarring on the labial side were reduced with the use of this technique. [ 11 ] A slight modification of this technique was also described by Man et al .,[ 12 ] for tissue augmentation around multiple contiguous implants. Good contours and complete filling of papillae were reported with a follow-up of 3–5 years.…”

Section: Discussionmentioning

confidence: 99%

“…Good contours and complete filling of papillae were reported with a follow-up of 3–5 years. [ 11 12 ]…”

Section: Discussionmentioning

confidence: 99%

“…This may lead to considerable postoperative discomfort as the trapdoor can sometimes undergo necrosis as well. [ 12 ] The technique described in the present case series overcomes this issue by allowing a primary closure of the surgical site and does not use a trapdoor approach. In addition, a healing abutment is used to support and dictate the contour of the healing tissue as described by Barone et al .…”

Section: Discussionmentioning

confidence: 99%

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Applications of a modified palatal roll flap in peri-implant soft-tissue augmentation – A case series

Kulkarni

Bakshi²,

Kavlekar³

et al. 2017

J Indian Soc Periodontol

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Abrams's palatal roll technique has been used extensively to augment peri-implant soft tissues in the maxillary esthetic zone and has seen numerous modifications. An adaptation of the palatal roll technique is described here and its simplicity of application in three different scenarios is demonstrated. At second-stage implant surgery, a partial thickness initial incision followed by a palatal subepithelial dissection at the site of implant was done and a connective tissue graft with a buccal pedicle was obtained. The graft was rolled under the buccal flap and allowed to heal with the support of a healing abutment. The graft healed uneventfully and provided excellent contours of tissues around the implant. The procedure demonstrated good results for augmentation of a buccal ridge deficiency, for covering exposed and unsightly implant fixtures and was also done with a papilla preservation incision. In addition, a second surgical site to obtain the connective tissue graft was avoided.

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“…This flap is used mostly for minor augmentation of the buccal PIS during the single implant uncovering procedure [78][79][80]. Other indications include soft tissue augmentation for pontic site development [81,82] and multiple implants PIS augmentation and pontic site development at implant uncover procedure (Figures 6-11) [83]. The vascularized interpositional periosteal connective tissue flap (VIP-CTG) consists of a connective tissue pedicle that remains attached to the palatal tissue on the distal or mesial side, depending on the defect location.…”

Section: Connective Tissue Pedicle Flapsmentioning

confidence: 99%

Peri-Implant Soft Tissue Augmentation

Blašković¹,

Blašković²

2022

Dentistry

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The peri-implant soft tissue (PIS) augmentation procedure has become an integral part of implant-prosthetic rehabilitation. Minimal width of keratinized mucosa (KM) of 2 mm is deemed necessary to facilitate oral hygiene maintenance around the implant and provide hard and soft peri-implant tissue stability. PIS thickness of at least 2 mm is recommended to achieve the esthetic appearance and prevent recessions around implant prosthetic rehabilitation. The autogenous soft tissue grafts can be divided into two groups based on their histological composition—free gingival graft (FGG) and connective tissue graft (CTG). FGG graft is used mainly to increase the width of keratinized mucosa while CTG augment the thickness of PIS. Both grafts are harvested from the same anatomical region—the palate. Alternatively, they can be harvested from the maxillary tuberosity. Soft tissue grafts can be also harvested as pedicle grafts, in case when the soft tissue graft remains attached to the donor site by one side preserving the blood supply from the donor region. Clinically this will result in less shrinkage of the graft postoperatively, improving the outcome of the augmentation procedure. To bypass the drawback connected with FGG or CTG harvesting, substitutional soft tissue grafts have been developed.

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Split pedicle roll envelope technique around implants and pontics: a prospective case series study

Cited by 7 publications

References 19 publications

Radiographic evaluation of a cross-shaped incision technique for thick-gingiva and thin-gingiva patients treated with implant-supported fixed prosthesis

Radiographic evaluation of a cross-shaped incision technique for thick-gingiva and thin-gingiva patients treated with implant-supported fixed prosthesis

Applications of a modified palatal roll flap in peri-implant soft-tissue augmentation – A case series

Peri-Implant Soft Tissue Augmentation

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