Transmucosal implant placement with submarginal connective tissue graft in area of shallow buccal bone dehiscence: A three-year follow-up case series

Martina Stefanini, Pietro Felice, Claudio Mazzotti, Matteo Marzadori, Enrico F. Gherlone, Giovanni Zucchelli

Research output: Contribution to journalArticlepeer-review

Abstract

The aim of the present case series study was to evaluate the short- and longterm (3 years) soft tissue stability of a surgical technique combining transmucosal implant placement with submarginal connective tissue graft (CTG) in an area of shallow buccal bone dehiscence. A sample of 20 patients were treated by positioning a transmucosal implant in an intercalated edentulous area. A CTG sutured to the inner aspect of the buccal flap was used to cover the shallow buccal bone dehiscence. Clinical evaluations were made at 6 months (T1) and 1 (T2) and 3 (T3) years after the surgery. Statistically significant increases in buccal soft tissue thickness and improvement of vertical soft tissue level were achieved at the T1, T2, and T3 follow-ups. A significant increase in keratinized tissue height was also found at T3. No significant marginal bone loss was recorded. The submarginal CTG technique was able to provide simultaneous vertical and horizontal soft tissue increases around single implants with shallow buccal bone dehiscence and no buccal mucosal recession or clinical signs of mucositis or peri-implantitis at 1 and 3 years.

Original languageEnglish
Pages (from-to)621-630
Number of pages10
JournalInternational Journal of Periodontics and Restorative Dentistry
Volume36
Issue number5
DOIs
Publication statusPublished - 2016

ASJC Scopus subject areas

  • Medicine(all)

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