A simple approach to preserve keratinized mucosa around implants using a pre-fabricated implantretained stent: A report of two cases

Jung Chul Park, Ki Bin Yang, Youna Choi, Yong Tae Kim, Ui Won Jung, Chang Sung Kim, Kyoo Sung Cho, Jung Kiu Chai, Chong Kwan Kim, Seong Ho Choi

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Purpose: There is no consensus regarding the relationship between the width of keratinized mucosa and the health of periimplant tissues, but clinicians prefer to provide enough keratinized mucosa around dental implants for long-term implant maintenance. An apically positioned flap during second stage implant surgery is the chosen method of widening the keratinized zone in simple procedures. However, the routine suture techniques used with this method tend to apply tension over the provisional abutments and decrease pre-existing keratinized mucosa. To overcome this shortcoming, a pre-fabricated implant-retained stent was designed to apply vertical pressure on the labial flap and stabilize it in a bucco-apical direction to create a wide keratinized mucous zone. Methods: During second stage implant surgery, an apically displaced, partial thickness flap with a lingualized incision was retracted. A pre-fabricated stent was clipped over the abutments after connecting to the provisional abutment. Vertical pressure was applied to displace the labial flap. No suture was required and the stent was removed after 10 days. Results: A clinically relevant amount of keratinized mucosa was achieved around the dental implants. Buccally displaced keratinized mucosa was firmly attached to the underlying periosteum. A slight shrinkage of the keratinized zone was noted after the healing period in one patient, but no discomfort during oral hygiene was reported. Clinically healthy gingiva with enough keratinized mucosa was achieved in both patients. Conclusions: The proposed technique is a simple and time-effective technique for preserving and providing keratinized tissue around dental implants.

Original languageEnglish
Pages (from-to)194-200
Number of pages7
JournalJournal of Periodontal and Implant Science
Volume40
Issue number4
DOIs
Publication statusPublished - 2010 Aug 1

Fingerprint

Stents
Mucous Membrane
Dental Implants
Lip
Suture Techniques
Pressure
Periosteum
Oral Hygiene
Gingiva
Sutures
Maintenance
Health

All Science Journal Classification (ASJC) codes

  • Oral Surgery
  • Periodontics

Cite this

Park, Jung Chul ; Yang, Ki Bin ; Choi, Youna ; Kim, Yong Tae ; Jung, Ui Won ; Kim, Chang Sung ; Cho, Kyoo Sung ; Chai, Jung Kiu ; Kim, Chong Kwan ; Choi, Seong Ho. / A simple approach to preserve keratinized mucosa around implants using a pre-fabricated implantretained stent : A report of two cases. In: Journal of Periodontal and Implant Science. 2010 ; Vol. 40, No. 4. pp. 194-200.
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abstract = "Purpose: There is no consensus regarding the relationship between the width of keratinized mucosa and the health of periimplant tissues, but clinicians prefer to provide enough keratinized mucosa around dental implants for long-term implant maintenance. An apically positioned flap during second stage implant surgery is the chosen method of widening the keratinized zone in simple procedures. However, the routine suture techniques used with this method tend to apply tension over the provisional abutments and decrease pre-existing keratinized mucosa. To overcome this shortcoming, a pre-fabricated implant-retained stent was designed to apply vertical pressure on the labial flap and stabilize it in a bucco-apical direction to create a wide keratinized mucous zone. Methods: During second stage implant surgery, an apically displaced, partial thickness flap with a lingualized incision was retracted. A pre-fabricated stent was clipped over the abutments after connecting to the provisional abutment. Vertical pressure was applied to displace the labial flap. No suture was required and the stent was removed after 10 days. Results: A clinically relevant amount of keratinized mucosa was achieved around the dental implants. Buccally displaced keratinized mucosa was firmly attached to the underlying periosteum. A slight shrinkage of the keratinized zone was noted after the healing period in one patient, but no discomfort during oral hygiene was reported. Clinically healthy gingiva with enough keratinized mucosa was achieved in both patients. Conclusions: The proposed technique is a simple and time-effective technique for preserving and providing keratinized tissue around dental implants.",
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A simple approach to preserve keratinized mucosa around implants using a pre-fabricated implantretained stent : A report of two cases. / Park, Jung Chul; Yang, Ki Bin; Choi, Youna; Kim, Yong Tae; Jung, Ui Won; Kim, Chang Sung; Cho, Kyoo Sung; Chai, Jung Kiu; Kim, Chong Kwan; Choi, Seong Ho.

In: Journal of Periodontal and Implant Science, Vol. 40, No. 4, 01.08.2010, p. 194-200.

Research output: Contribution to journalArticle

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T1 - A simple approach to preserve keratinized mucosa around implants using a pre-fabricated implantretained stent

T2 - A report of two cases

AU - Park, Jung Chul

AU - Yang, Ki Bin

AU - Choi, Youna

AU - Kim, Yong Tae

AU - Jung, Ui Won

AU - Kim, Chang Sung

AU - Cho, Kyoo Sung

AU - Chai, Jung Kiu

AU - Kim, Chong Kwan

AU - Choi, Seong Ho

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N2 - Purpose: There is no consensus regarding the relationship between the width of keratinized mucosa and the health of periimplant tissues, but clinicians prefer to provide enough keratinized mucosa around dental implants for long-term implant maintenance. An apically positioned flap during second stage implant surgery is the chosen method of widening the keratinized zone in simple procedures. However, the routine suture techniques used with this method tend to apply tension over the provisional abutments and decrease pre-existing keratinized mucosa. To overcome this shortcoming, a pre-fabricated implant-retained stent was designed to apply vertical pressure on the labial flap and stabilize it in a bucco-apical direction to create a wide keratinized mucous zone. Methods: During second stage implant surgery, an apically displaced, partial thickness flap with a lingualized incision was retracted. A pre-fabricated stent was clipped over the abutments after connecting to the provisional abutment. Vertical pressure was applied to displace the labial flap. No suture was required and the stent was removed after 10 days. Results: A clinically relevant amount of keratinized mucosa was achieved around the dental implants. Buccally displaced keratinized mucosa was firmly attached to the underlying periosteum. A slight shrinkage of the keratinized zone was noted after the healing period in one patient, but no discomfort during oral hygiene was reported. Clinically healthy gingiva with enough keratinized mucosa was achieved in both patients. Conclusions: The proposed technique is a simple and time-effective technique for preserving and providing keratinized tissue around dental implants.

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