The Buccally Displaced Palatal (BDP) Flap to Increase Quantity and Thickness of Peri-implant Soft Tissue

Testori, Tiziano; Deflorian, Matteo; Scaini, Riccardo; Wang, I‐Ching; Zucchelli, Giovanni; Steigmann, Marius; Fabbro, Massimo Del; Wang, Hom‐Lay; Francetti, Luca

doi:10.11607/prd.5833

Cited by 2 publications

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“…Moreover, the major issue in dental implantology is currently the management of soft tissue (red aesthetics/function). An implant and crown surrounded by high-quality keratinised mucosa turned from the hard palate reduces the risk of peri-implantitis [ 33 , 34 ]. An implantologist who was asked to reconstruct the dentition by inserting a dental implant into a position of a previously closed OAC would thus prefer a palatal flap [ 31 , 34 ].…”

Section: Discussionmentioning

confidence: 99%

“…An implant and crown surrounded by high-quality keratinised mucosa turned from the hard palate reduces the risk of peri-implantitis [ 33 , 34 ]. An implantologist who was asked to reconstruct the dentition by inserting a dental implant into a position of a previously closed OAC would thus prefer a palatal flap [ 31 , 34 ]. It is more difficult to perform, but the quality of the soft tissue on the top of the alveolar process (later forming the cuff around the implant and prosthetics) is much better.…”

Section: Discussionmentioning

confidence: 99%

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One-stage combined ENT and dental surgical treatment of odontogenic sinusitis: a prospective study

Kocum,

Šedý,

Traboulsi

et al. 2023

Eur Arch Otorhinolaryngol

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Purpose The study analyses outcomes of the surgical treatment of odontogenic sinusitis that concurrently address sinusitis and its dental source. Methods A total of 364 adult patients were included, representing 13% of all patients we have operated on for any rhinosinusitis over the past 18 years. The diagnosis was based on both ENT and dental examinations including CT imaging. Patients were divided into three groups: (1) FESS with dental surgery without antrotomy, (2) FESS with intraoral antrotomy, and (3) intraoral surgery without FESS. The mean postoperative follow-up was 15 months. Results First group involved 64%, second group 31%, and third group 6% of the cases. The one-stage combined ENT and dental approach was used in 94% of cases (group 1 and 2) with a success rate of 97%. Concerning FESS, maxillary sinus surgery with middle meatal antrostomy only was performed in 54% of patients. Oroantral communication flap closure was performed in 56% of patients (success rate 98%). Healing was achieved within 3 months. The majority (87%) of patients were operated on unilaterally for unilateral findings. Over the past 18 years, a 6% increase of implant-related odontogenic sinusitis was observed. Conclusion Odontogenic sinusitis is common, tending to be unilateral and chronic. Its dental source needs to be uncovered and treated and should not be underestimated. Close cooperation between ENT and dental specialists has a crucial role in achieving optimal outcomes. The one-stage combined surgical approach proves to be a reliable, safe, fast and effective treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

One-stage combined ENT and dental surgical treatment of odontogenic sinusitis: a prospective study

Kocum,

Šedý,

Traboulsi

et al. 2023

Eur Arch Otorhinolaryngol

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Impact of vertical alveoloplasty on changes in keratinized mucosa width following full‐arch immediate implant placement and rehabilitations: A prospective case series

Wei,

Jiang,

Luo

et al. 2024

Journal of Prosthodontics

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PurposeThis prospective case series aimed to investigate the effect of vertical alveoloplasty on the changes in keratinized mucosa width (KMW) following full‐arch immediate implant placement and rehabilitation.Materials and MethodsA total of 17 potential edentulous patients were enrolled and received implant placement and full‐arch implant‐supported immediate rehabilitations. The main outcome was to analyze the effect of vertical alveoloplasty on the changes in KMW. The amount of vertical alveoloplasty during implant surgery as well as the changes in KMW at buccal aspects from the day of surgery to 6 months post‐surgery were recorded on the implant‐level using a periodontal probe. The secondary outcome was to analyze the other possible factors that affected the changes in KMW. The included factors were the initial KMW, the distribution of implants in the maxilla and mandible, the distribution of implants in the anterior and posterior regions, the distribution of implants in extraction sockets and healed ridges, and gender. Mann‐Whitney non‐parametric tests and multiple linear regression adjusted by generalized estimating equations (GEE) were used to statistically analyze the data.ResultsA total of 121 implant positions were analyzed. The KMW was 4.1± 2.0 mm on the day of the surgery and 4.1± 1.7 mm 6 months post‐surgery. The mean changes in KMW following 6 months were −0.1± 1.6 mm (p = 0.824). From the results of GEE, the vertical amount of alveoloplasty had no significant effect on changes in KMW. Both initial KMW and the distribution of implants in the anterior and posterior regions had significant impacts on the changes in KMW (p < 0.0001).ConclusionThe amount of vertical alveoloplasty during implant surgery has no significant impact on the KMW. The KMW remained stable from baseline to 6 months after alveoloplasty, implant placement, and immediate rehabilitations in potential edentulous arches. The initial KMW and the distribution of implants in the anterior and posterior regions were the possible factors affecting changes in KMW.

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The Buccally Displaced Palatal (BDP) Flap to Increase Quantity and Thickness of Peri-implant Soft Tissue

Cited by 2 publications

References 0 publications

One-stage combined ENT and dental surgical treatment of odontogenic sinusitis: a prospective study

One-stage combined ENT and dental surgical treatment of odontogenic sinusitis: a prospective study

Impact of vertical alveoloplasty on changes in keratinized mucosa width following full‐arch immediate implant placement and rehabilitations: A prospective case series

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