A Novel Method to Cover Metal Display in Implants Using a Modified Free Gingival Graft: A Case Report

Clinical Advances in Periodontics
Hani Essam El Nahass

Abstract

Correction of an esthetic failure in the anterior esthetic zone is difficult, especially after placement of the final restoration. This case report describes a novel technique to cover metal display with a graft that combines the advantages of the free gingival and the subepithelial connective tissue grafts. A patient presented to the author's private practice with marked metal display leading to compromised esthetics. To cover the metal display, it was decided to increase the amount of soft tissue surrounding the implant. A free gingival graft was obtained from the palate with two de-epithelialized extensions to ensure adequate blood supply and excellent color match. The graft was adapted to the recipient site, which included a previously prepared bed and two pouches. The pouches accommodated the de-epithelialized extensions. The clinical outcome exhibited superior results in both volume and quality of the gained soft tissue. The technique described in this case report could be considered as a method to cover metal display in the esthetic zone to improve the volume and quality of the tissue.

References

Dec 1, 1986·Journal of Periodontology·P D Miller
Feb 25, 1998·The Journal of Prosthetic Dentistry·H P Weber, D L Cochran
Oct 16, 1999·Journal of Clinical Periodontology·I S MoonJ Lindhe
Feb 8, 2002·The Journal of Oral Implantology·A L HellerJ Rutkowski
Dec 25, 2002·The Journal of Oral Implantology·A Norman Cranin
Apr 17, 2008·Periodontology 2000·Patrick Palacci, Hessam Nowzari
Aug 12, 2009·Clinical Oral Implants Research·Daniel S ThomaRonald E Jung

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