The Journal of Implant & Advanced Clinical Dentistry
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Rebuilding Buccal Plate Deficiency During Immediate Implant Placement

  • Journal:Rebuilding Buccal Plate Deficiency During Immediate Implant Placement Volume: vol. 10 No. 3 Date: April 2018
    Authors:Héctor N. Norero, Mauricio A. Ibanez, Ana Luisa Bernotti, Gregori M. Kurtzman, Dr. Lank Mahesh, Dr. Nitika Poonia, Dr. Vishal Gupta, Britto Falcón-Guerrero

    6. A New Technique for Rebuilding the Buccal Plate during Placement of Immediate Dental Implants in an Extraction Site with Buccal Defects

    The final decision when placing a dental implant in an extraction site must be done looking at the integrity of the socket walls. When the buccal plate is partially or totally lost, the primary treatment goal is to preserve the socket until it matures for good implant stability and good esthetic results. What this technique proposes is to allow an immediate implant placement without the problems, esthetic and functional issues of the future final restoration.

    16. The Bernotti V-Y Flap: An Alternative to Manage Soft Tissue Esthetic Issues with Implants

    Mucosal issues such as inflammation, swelling, fistulas, lack of sufficient keratinized tissue, deficient buccal contour volume, recession and thin biotype became treatment challenges with implant and natural tooth restorations, especially when less than ideal 3D position implant placement has resulted. Management of the soft tissue with an inadequate flap incision may complicate surgical results instead of improving the clinical situation, leading to apical mucosal recession and the resulting aesthetic complications that may ensue. The “Bernotti V-Y Flap” eliminates the complications reported with other approaches to correct these clinical issues.

    28. Soft Tissue Augmentation to Increase Width of Keratinized Tissue Around Dental Implants Using Tissue Fixation Screws: A Novel Technique for Graft Tissue Stabilization

    Presence of adequate width of attached gingiva for longevity of implants has long been debated upon. The implant-mucosa interface differs from the interface between the mucosa and natural teeth, and these differences are important to the understanding of the susceptibility of implants to infection. Few studies have examined the relationship between the width of keratinized mucosa and the health of peri-implant tissues. The results of these studies are contradictory.

    34. The Waya Technique: A Novel Approach Using a Palatal Flap of Apical Repositioning for Primary Tension-Free Closure in Maxillary Bone Augmentation

    The success of the processes of horizontal bone augmentation requires that the procedure has a tension-free closure. The greatest challenge in these regenerative techniques is to establish a flap design that covers an increased dimension after the bone graft had been applied to the defect; for this objective there are frequently using alternatives, but they cause loss of vestibular depth and keratinized mucosa, that cause functional and aesthetic discomfort.


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