Fogorvosi szemle, 2018 (111. évfolyam, 1-4. szám)
2018-03-01 / 1. szám
15 FOGORVOSI SZEMLE ■ 111. évf. 1. sz. 2018. 4. Fürhauser R, Florescu D, Benesch T, Haas R, Mailath G, Watzek G: Evaluation of soft tissue around single-tooth implant crowns: the pink esthetic score. Clin Oral Implants Res. 2005. Dec. 16. (6): 639-644 5. Ladwein C, Schmelzeisen R, Nelson K, Fluegge TV, Fretwurst T: Is the presence of keratinized mucosa associated with periimplant tissue health? A clinical cross-sectional analysis. Int J Implant Dent. 2015. Dec. 1. (1): 11. 6. Linkevicius T, Apse P, Grybauskas S, Puisys A: The influence of soft tissue thickness on crestal bone changes around implants: a 1-year prospective controlled clinical trial. Int J Oral Maxillofac Implants. 2009. Jul-Aug. 24. (4): 712-719. 7. Linkevicius T, Puisys A, Linkeviciene L, Peciuliene V, Schlee M: Crestal Bone Stability around Implants with Horizontally Matching Connection after Soft Tissue Thickening: A Prospective Clinical Trial. Clin Implant Dent Relat Res. 2015. Jun. 17. (3): 497-508. 8. Maia LP, Reino DM, Muglia VA, Almeida AL, Nanci A, Wazen RM et al: Influence of periodontal tissue thickness on buccal plate remodelling on immediate implants with xenograft. J Clin Periodontol. 2015. Apr. 15. 9. Si MS, Zhuang LF, Huang X, Gu YX, Chou CH, Lai HC: Papillae alterations around single-implant restorations in the anterior maxillae: thick versus thin mucosa. Int J Oral Sei. 2012. Jun. 4. (2): 94-100. 10. Puisys A, Vindasiute E, Linkevciene L, Linkevicius T: The use of acellular dermal matrix membrane for vertical soft tissue augmentation during submerged implant placement: a case series. Clin Oral Implants Res. 2015. Apr. 26. (4): 465-470. 11. Roccuzzo M, Grasso G, Dalmasso P: Keratinized mucosa around implants in partially edentulous posterior mandible: 10-year results of a prospective comparative study. Clin Oral Implants Res. 2015. Feb. 23. 12. Rodriguez FR, Paganoni N, Weiger R, Walter C: Lower Educational Level is a Risk Factor for Tooth Loss - Analysis of a Swiss Population (KREBS Project). Oral Health Prev Dent. 2017.15. (2): 139-145. 13. Schropp L, Wenzel A, Kostopoulos L, Karring T: Bone healing and soft tissue contour changes following single-tooth extraction: a clinical and radiographic 12-month prospective study. Int J Periodontics Restorative Dent. 2003. Aug. 23. (4): 313-323. 14. Schrott AR, Jimenez M, Hwang JW, Fiorellini J, Weber HP: Fiveyear evaluation of the influence of keratinized mucosa on periimplant soft-tissue health and stability around implants supporting full-arch mandibular fixed prostheses. Clin Oral Implants Res. 2009. Oct. 20. (10): 1170-1177. 15. Thoma DS, Muhlemann S, Jung RE: Critical soft-tissue dimensions with dental implants and treatment concepts. Periodontol 2000. 2014. Oct. 66. (1): 106-118. 16. Toijanic JA, Ward CB, Gewerth ME, Banakis ML: A longitudinal clinical comparison of plaque-induced inflammation between gingival and peri-implant soft tissues in the maxilla. J Periodontol. 2001. Sep. 72. (9): 1139-1145. 17. Ueno D, Nagano T, Watanabe T, Shirakawa S, Yashima A, Gomi K: Effect of the Keratinized Mucosa Width on the Health Status of Periimplant and Contralateral Periodontal Tissues: A Cross-sectional Study. Implant Dent. 2016. Dec. 25. (6): 796-801. Párkányi L, Fráter M Thickening the attached gingiva around implants - the “H-technique” - case presentation The soft tissue environment around implants and around the related indirect restoration significantly influences not only the esthetic outcome of the implant-prosthetic solution, but may also influence long term stability of the dental implants. Traditionally biotype modification and thickening or widening the keratinized tissues around implants is carried out during a separate surgical procedure. This can be done either on the appointment of uncovering the implant and placing the healing abutment or later around the already placed healing abutments. The graft used for this specific procedure is usually a free gingival graft (FGG), which can cause significant morbidity to the donor site and also will differ in esthetic appearance from the surrounding soft tissues. The aim of the proposed technique is the simultaneous biotype modification and keratinized tissues augmentation with the aid of acellular dermal matrix (ADM) at the time of implant placement during an open healing. With this technique one should be able to decrease the morbidity of the donor site, reduce the number of surgical interventions and separate surgical steps (leading to reduced healing time) and also improve the esthetic outcome. Keywords: thickening attached gingiva, ADM, collagen matrix, tunnel technique
