Rezorbe atrofik mandibulada implant yumuşak doku arayüzünün düzenlenmesinde


Ergün G., Bozkaya S., Yılmaz D., Tümer M. K.

Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi, vol.21, no.3, pp.356-361, 2013 (Peer-Reviewed Journal)

Abstract

Purpose: To evaluate the effectiveness of vestibuloplasty technique to improve the condition of the soft tissues around the implants placed in the interforaminal region of atrophied mandible. Material and Methods: Ten patients each had two implants inserted in the atrophied mandibles were included in the study. A split-thickness vestibular flap was reflected and apically sutured onto the periosteum. Preexisting dentures relined with a tissue conditioner were used for a postsurgical stent. Clinical evaluations were made before operation and during a follow-up period of 8 weeks to 1 year. Clinical variables include presence of mucosal inflammation, bleeding on probing, width of attached gingiva attained, and success of exposure of abutments. Results: Adequate exposure of abutments and an area of attached gingiva 4–8 mm wide were attained in 8 weeks. There was no bleeding on probing or local infection. The patients complained of a little pain after the procedures. Only mild to moderate edema was seen postoperatively. Relapse was seen in 10-30 % postoperatively and increased over time. Conclusion: This technique is a simple and minimally invasive method of improving the condition of soft tissue after insertion of implants. It does not limit the patient’s routine activities and so avoids soft tissue complications.