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Int J Periodontics Restorative Dent ; 28(6): 617-23, 2008 Dec.
Article in English | MEDLINE | ID: mdl-19146058

ABSTRACT

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.


Subject(s)
Bone Resorption/surgery , Dental Implants , Gingivoplasty/methods , Mandibular Diseases/surgery , Mouth Mucosa/surgery , Stents , Acrylic Resins , Connective Tissue/surgery , Dental Abutments , Follow-Up Studies , Humans , Osseointegration/physiology , Periosteum/surgery , Surgical Flaps , Suture Techniques , Vestibuloplasty/methods
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