Reconstrucción de la papila gingival alrededor del implante mediante técnica novedosa / Papilla reconstruction around the implant using novel technique
Actas odontol
;
13(2): 42-45, dic. 2016. ilus
Article
in Spanish
| LILACS, BNUY
| ID: biblio-834226
RESUMEN
La reconstrucción de la estética gingival (rosada) es un tema importante en la odontología implanto-soportada moderna, y cualquier resultado estético comprometido se considera un fracaso. En la literatura se proponen variados enfoques quirúrgicos y no quirúrgicos para reconstruir la papila interdental perdida. En esta técnica modificada, el extremo distal del injerto pediculado fue dividido en dos partes creando una estructura bífida, que luego se colocó alrededor del pilar y suturó por vestibular. Esta técnica dio como resultado un aumento significativo de volumen de la papila en las direcciones coronaria y vestibular. El injerto de tejido conectivo pediculado subepitelial asociado con un colgajo coronalmente desplazado parece ser un abordaje viable para el tratamiento de la papila ausente, asociado con restauraciones implanto-soportadas.
ABSTRACT
Rebuilding the pink esthetic is an important issue in modern esthetic implant dentistry, and any compromised esthetic results following implant-supported restorations are considered failures. Several surgical and nonsurgical approaches are proposed in the literature to reconstruct the lost interdental papilla. In this modified technique the distal end of the pedicle graft was divided into two parts creating a bifid, which were then placed around the abutment and sutured on the facial aspect. This technique resulted in a significant gain of papillary volume in both coronal and facial directions. The subepithelial connective pedicle graft associated with a coronally advanced flap seems to be a viable approach for the treatment of missing papilla associated with implant-supported restorations.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Surgical Flaps
/
Connective Tissue
/
Plastic Surgery Procedures
/
Gingiva
Limits:
Female
/
Humans
Language:
Spanish
Journal:
Actas odontol
Journal subject:
General Surgery
/
Dentistry
Year:
2016
Type:
Article
Affiliation country:
South Africa
Institution/Affiliation country:
Universidad de Pretoria/ZA
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