Multilayered Connective Tissue Grafting Technique to Improve Aesthetics after Failed GBR: A Clinical Case Report of 16 Months Follow-Up

Gabriele Villa, Gionata Bellucci, Simone Magnolo, Farah Asa'ad

Research output: Contribution to journalArticlepeer-review

Abstract

Objective. This case report describes soft-tissue management after a failed GBR procedure to enhance the soft-tissue quality, quantity, and aesthetic outcomes. Case Presentation. A 38-year-old patient visited the Dental Clinic of the Ospedale Maggiore Policlinico, University of Milan, Milan, Italy, for a chief complaint of unsatisfactory aesthetics of the anterior maxillary area. Dental history disclosed failed preimplant vertical bone augmentation with GBR procedure in the area of the left maxillary central incisor resulting in a severe gingival recession of adjacent teeth and compromised soft-tissue quantity and quality and severe ridge atrophy (class III). Multilayered connective tissue grafting technique, in a two-step mucogingival surgery, was used to cover the gingival recessions, reach even gingival margin, and reconstruct the defect. Frenectomy was done after the second mucogingival surgery to relieve the muscle attachment. A definitive cantilever bridge was placed to restore the left and right maxillary central incisors, and a satisfactory aesthetic outcome was reached. Conclusions. Multilayered connective tissue grafting technique might be successful in correcting soft-tissue quantity and quality in class III ridge defects.

Original languageEnglish
Article number3906468
JournalCase Reports in Dentistry
Volume2020
DOIs
Publication statusPublished - 2020

ASJC Scopus subject areas

  • Dentistry(all)

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