AESTHETIC TREATMENT OF PERI-IMPLANT SOFT TISSUE DEFECTS—A CASE REPORT OF A CORONALLY ADVANCED FLAP (CAF) WITH CONNECTIVE TISSUE GRAFT (CTG)
by Ahmet Aydogdu (Turkey), Ilker Keskiner, Ayca Ersoy Kaleli

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Objectives: Dental implant treatments at the anterior region of maxilla present challenges in terms of achieving a satisfactory aesthetic outcome. Peri-implant mucosal recession and gray titanium surface reflections may be may occur when soft-tissue thickness is insufficient. The case presented here involves using a coronally advanced flap (CAF) with connective tissue graft (CTG) to treat a peri-implant mucosal defect at a maxillary anterior single implant. Methods: A 33-year-old woman was referred because of the non-aesthetic appearance of her implant-supported crown in the maxillary lateral incisor. Intraoral examination revealed peri-implant mucosal recession and gray reflection with thin peri-implant mucosa. The CAF + CTG operation was planned to enhance soft tissue thickness and reduce recession height. CTG was obtained by means of disepithelisation of a free gingival graft, was harvested from the premolar region of palate and fully covered by coronally advanced flap. Results: Healing was issue free and sutures were removed after 10 days. The peri-implant mucosal recession was fully covered, the soft tissue was thickened, and there was no gray reflections at the peri-implant region. The peri-implant mucosa was stable when the patient was examined at 1 month, 3 months, 6 months and 12 months. Conclusion: CTG+CAF may be used to prevent implant surface transparency and to increase the peri-implant tissue thickness in aesthetic areas.
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Content Type:
Poster
Publication date:
13/12/2015
Publisher: