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http://dx.doi.org/10.15522/jkaed.2021.30.2.102

Maxillary tuberosity connective tissue graft for restoration of gingival depression in the anterior implant region  

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)
Publication Information
Journal of the Korean Academy of Esthetic Dentistry / v.30, no.2, 2021 , pp. 102-111 More about this Journal
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.
Keywords
soft tissue; connective tissue; augmentation;
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1 Froum S, Lagoudis M, Rojas G, Suzuki T, Cho SC. New surgical protocol to create interimplant papilla: the preliminary results of a case series. The International journal of periodontics & restorative dentistry. 2016 Mar 1;36(2):161-8.   DOI
2 Higginbottom FL. Implants as an option in the esthetic zone. Journal of oral and maxillofacial surgery. 2005 Sep 1;63(9):33-44.   DOI
3 Derks J, Hakansson J, Wennstrom JL, Klinge B, Berglundh T. Patient-reported outcomes of dental implant therapy in a large randomly selected sample. Clinical oral implants research. 2015 May;26(5):586-91.   DOI
4 Locker D. Patient-based assessment of the outcomes of implant therapy: a review of the literature. International Journal of Prosthodontics. 1998 Sep 1;11(5).
5 Salama H, Salama M, Garber D. The tunnel technique in the periodontal plastic treatment of multiple adjacent gingival recession defects: A review. Inside Dentistry. 2008;4(9):78-81.
6 Sullivan HC. Free autogenous gingival grafts. I. Principles of successful grafting. Periodontics. 1968;6:121-9.
7 Amin PN, Bissada NF, Ricchetti PA, Silva AP, Demko CA. Tuberosity versus palatal donor sites for soft tissue grafting: A split-mouth clinical study. Quintessence International. 2018 Jul 1;49(7).
8 Dellavia C, Ricci G, Pettinari L, Allievi C, Grizzi F, Gagliano N. Human palatal and tuberosity mucosa as donor sites for ridge augmentation. International Journal of Periodontics & Restorative Dentistry. 2014 Mar 1;34(2).
9 Vinayak S, Ceballos L, Diaz-Maurino C, Chi S, Yu YC. Problem Solving Guidelines for Aesthetically Compromised Maxillary Anterior Implant Restorations. J Oral Biol. 2018;5(1):7.
10 Jung UW, Um YJ, Choi SH. Histologic observation of soft tissue acquired from maxillary tuberosity area for root coverage. Journal of periodontology. 2008 May;79(5):934-40.   DOI
11 Tavelli L, Barootchi S, Greenwell H, Wang HL. Is a soft tissue graft harvested from the maxillary tuberosity the approach of choice in an isolated site?. Journal of periodontology. 2019 Aug;90(8):821-5.   DOI