Journal of the Korean Academy of Esthetic Dentistry (대한심미치과학회지)

Korean Academy of Esthetic Dentistry (대한심미치과학회)
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Maxillary tuberosity connective tissue graft for restoration of gingival depression in the anterior implant region

전치부 임플란트 영역 치은 함몰 회복을 위한 결체조직 이식술에서 상악결절 수여부의 선택

  • Lee, Dong-Woon (Department of Periodontology, Veterans Health Service Medical Center) ;
  • Jung, Gwang-Young (Department of Periodontology, Veterans Health Service Medical Center) ;
  • Bang, Joo-Hyuk (Department of Prosthodontics, Veterans Health Service Medical Center) ;
  • Lee, Keun-Woo (Department of Prosthodontics, Veterans Health Service Medical Center)
  • 이동운 (중앙보훈병원 치과병원 치주과) ;
  • 정광영 (중앙보훈병원 치과병원 치주과) ;
  • 방주혁 (중앙보훈병원 치과병원 보철과) ;
  • 이근우 (중앙보훈병원 치과병원 보철과)
  • Received : 2021.10.25
  • Accepted : 2021.11.12
  • Published : 2021.11.21
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Abstract

Implant placement in the anterior region is performed in several stages, and harmonization of both hard and soft tissues is essential. In addition, adequate esthetic and functional evaluations are necessary in the process of transitioning from the provisional to the final prosthesis to attain patient satisfaction. Although gingiva can be molded in the anterior region, depression in the occlusal view can yield good results through the augmentation procedure. However, the harvesting of connective tissue from the palate is not suitable for various reasons, such as postoperative discomfort and intraoperative bleeding. Compared to the palatal area, the harvesting of connective tissue from the maxillary tuberosity can easily result in relatively thick tissue and quick healing of the donor site, thus proving to be a good modality for graft procedures. The purpose of this report is to examine the relevant evidence from previous studies and evaluate the process of soft tissue augmentation through a case presentation.

전치부 영역에서 임플란트는 경, 연조직 조화가 필요하며 다양한 단계를 필요로 한다. 이 중 순측의 함몰은 연조직 이식을 통해 좋은 결과를 얻을 수 있다. 치은퇴축을 위한 피개가 아닌 함몰을 위한 연조직 이식은 공여부의 선택에 있어서 구개측에 비해 상악결절부위에서의 채득으로 연조직의 볼륨을 보다 증가시킬 수 있으며 출혈이나 술후 통증을 줄이고, 공여부의 치유를 빠르게 하는 장점이 있어 좋은 치료 선택이 될 수 있을 것이다.

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References

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