Esthetic buccal flap for correction of buccal fenestration defects during flapless immediate implant surgery

Journal of Periodontology
Marius Steigmann, Hom-Lay Wang

Abstract

Clinically, it is a tremendous challenge to create natural gingival esthetics after immediate or delayed implant placement. Hence, flapless immediate implant surgery has been proposed to overcome the shortfalls of these techniques. Nonetheless, one of the major limitations for this technique is its inability to correct localized horizontal/vertical deficiency, dehiscence, or fenestration without jeopardizing esthetic outcomes. Therefore, the aim of this paper was to present a new flap design, the esthetic buccal flap (EBF), aimed at overcoming this potential problem while maintaining the optimal esthetic appearance. Five consecutively EBF-treated patients with simultaneous implant placement were included in this pilot case study. Clinical measurements were taken at the time of prosthesis insertion and 6 and 12 months after surgery. These included soft tissue height, papillae appearance, scar appearance, and mid-buccal probing depth. Data obtained from this pilot case study showed that soft tissue height was preserved, and papillae appearance remained the same as at presurgery. No scar tissue was reported in any cases. Mid-buccal probing depths remained consistent throughout the study. The results indicate that EBF, together wit...Continue Reading

References

Nov 5, 1998·Journal of Periodontology·W P Nordland, D P Tarnow
Aug 22, 2001·The Journal of Prosthetic Dentistry·D A Atwood
Feb 8, 2002·The Journal of Oral Implantology·J Hahn
Sep 13, 2003·Clinical Oral Implants Research·Ricardo GapskiNiklaus P Lang
Dec 14, 2004·Implant Dentistry·Hom-Lay WangRodrigo F Neiva
Mar 15, 2005·Implant Dentistry·Hom-Lay WangRodrigo F Neiva

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Citations

Dec 20, 2007·Implant Dentistry·Jill D Bashutski, Hom-Lay Wang
Jul 12, 2007·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Marius Steigmann
Apr 12, 2013·The Journal of Oral Implantology·Liviu Steier, Gabriela Steier
Feb 19, 2013·The Journal of Oral Implantology·Sergio Alexandre Gehrke
Nov 29, 2016·Implant Dentistry·Alexandra B PlonkaHom-Lay Wang
Dec 29, 2017·Journal of Esthetic and Restorative Dentistry : Official Publication of the American Academy of Esthetic Dentistry ... [et Al.]·Marc L Nevins, Sherif Said
Sep 16, 2017·Implant Dentistry·Ming-Pang ChungHom-Lay Wang

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