Application of Pedicle Palate Connective Tissue Grafts in Immediate Implantation in Maxillary Anterior Region

doi:10.13701/j.cnki.kqyxyj.2018.06.023

Abstract

Abstract: Objective: To evaluate the clinical effect of single-tooth immediate implantation by pedicle palate connective tissue grafts in the maxillary anterior region. Methods: From June 2014 to May 2016,15 patients with thin gingival type in the maxillary anterior region were treated by single-tooth immediate implantation without flap. Pedicle palate connective tissue grafts were applied for soft tissue augmentation around implant. The survival of connective tissue grafts and the prospect of reconstruction of soft tissue around implants after operation were observed. Results: Pedicle palate connective tissue grafts healed very well and the clinical survival rates were100%. After the completion of repair on the very day,6 months, and 12 months,pink esthetic score (PES) in each period was (11.69±0.84),(11.94±0.70),and (11.97±0.68), respectively. The reconstruction of soft tissue around implants attained the aesthetic effect. Conclusion: For the patients with thin gingival type,single-tooth immediate implantation without flap by pedicle palate connective tissue grafts in the maxillary anterior region can achieve better aesthetic effects.

Key words: Maxillary anterior region, Immediate implantation, Connective tissue, Soft tissue augmentation

SUN Li-bo,HUANG Hai-xia,LAN Yu-yan,HUANG Ting, LI Wang-yang. Application of Pedicle Palate Connective Tissue Grafts in Immediate Implantation in Maxillary Anterior Region[J]. Journal of Oral Science Research, 2018, 34(6): 671-674.

References

[1] 夏海斌,余玲梅.即刻种植的软组织处理技术[J].中国实用口腔科杂志,2012,5(4):206-209
[2] Buser D,Chappuis V,Belser UC,et al. Implant placement post extraction in esthetic single tooth sites:when immediate,when early,when late [J]. Periodontol 2000,2017,73(1):84-102
[3] Petsos H, Trimpou G, Eickholz P, et al. The influence of professional competence on the inter- and intra-individual esthetic evaluation of implant-supported crowns in the anterior maxilla [J]. Clin Oral Implants Res,2017,28(4):453-460
[4] 王群,陆钰,胡芳芳,等.两种不同结缔组织移植技术在上前牙区即刻种植修复中的应用[J].口腔医学研究,2016,32(5):502-505
[5] Zafiropoulos GG, John G. Use of collagen matrix for augmentation of the peri-implant soft tissue at the time of immediate implant placement [J]. J Contemp Dent Pract,2017,18(5):386-391
[6] Le B, Borzabadi-Farahani A, Nielsen B. Treatment of labial soft tissue recession around dental implants in the esthetic zone using guided bone regeneration with mineralized allograft:A retrospective clinical case series [J]. J Oral Maxillofac Surg, 2016, 74(8):1552-1561
[7] Akcali A,Schneider D,Ünlü F,et al. Soft tissue augmentation of ridge defects in the maxillary anterior area using two different methods: a randomized controlled clinical trial [J]. Clin Oral Implants Res,2015,26(6):688-695
[8] Rahpeyma A, Khajehahmadi S. Modified VIP-CT flap in late maxillary alveolar cleft surgery [J]. J Craniomaxillofac Surg,2014,42(5):432-437
[9] Waki T,Kan JY. Immediate placement and provisionalization of maxillary anterior single implant with guided bone regeneration,connective tissue graft,and coronally positioned flap procedures [J]. Int J Esthet Dent,2016,11(2):174-185
[10] Agarwal C,Deora S,Abraham D,et al. Vascularized interpositional periosteal connective tissue flap:A modern approach to augment soft tissue [J]. J Indian Soc Periodontol,2015,19(1):72-77
[11] Furze D, Byrne A, Alam S, et al. Esthetic outcome of implant supported crowns with and without peri-implant conditioning using provisional fixed prosthesis:A randomized controlled clinical trial [J]. Clin Implant Dent Relat Res, 2016, 18(6):1153-1162
[12] 夏婷,施斌.上颌单前牙即刻种植修复和延期种植修复的美学效果比较[J].口腔医学研究,2016,32(1):50-54

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[12]	QIU Jie-zi, ZHANG Jia, GAO Huan, et al. Clinical Study of Palatal Roll Connective Tissue Flap in the Esthetic Zone Implantation [J]. Journal of Oral Science Research, 2015, 31(8): 817-.
[13]	YU Ying, AI Hong, TU Shao-qin, et al.. Expression of Connective Tissue Growth Factor in Rat Mandibular Condylar Cartilage Following Function Mandibular Forward Positioning. [J]. Journal of Oral Science Research, 2015, 31(5): 451-456.