[논문]근단변위판막술과 함께 유리치은이식술을 사용하여 임플란트 주변 각화치은을 증대시킨 2건의 증례 보고

백원선; 차재국; 이재홍; 이중석; 정의원

근단변위판막술과 함께 유리치은이식술을 사용하여 임플란트 주변 각화치은을 증대시킨 2건의 증례 보고
Free gingival graft in combination with apically positioned flap for establishment of keratinized gingiva around the implants: Report of two cases 원문보기

大韓齒科醫師協會誌 = The journal of the Korean dental association, v.54 no.4, 2016년, pp.296 - 305

백원선 (연세대학교 치과대학 치주과학교실, 치주조직재생연구소) , 차재국 (연세대학교 치과대학 치주과학교실, 치주조직재생연구소) , 이재홍 (연세대학교 치과대학 치주과학교실, 치주조직재생연구소) , 이중석 (연세대학교 치과대학 치주과학교실, 치주조직재생연구소) , 정의원 (연세대학교 치과대학 치주과학교실, 치주조직재생연구소)

Abstract ▼ AI-Helper

Narrow zone of attached gingiva and shallow vestibule around the implants might contribute to difficulty of cleasing, periimplant mucositis caused by incomplete cleansing and further peri-implantitis. The aim of this case report is to present modification of soft tissue biotype around the implants by free gingival grafts according to timing of surgical intervention and shape of free gingiva. A 44 year-old male patient had a missing area on lower right second molar area with 1 to 2 mm of narrow attached gingiva zone and wanted to be treated by implant placement. In radiographic analysis, there was enough alveolar bone to install an implant, free gingiva from hard palate was grafted following implant placement using double layer flap. The width of attached gingival was increased to 4 to 5mm and well maintained during 5 months of follow up. A 69 year-old female patient also had a missing area on lower right first and second molar area with 1 to 2 mm narrow attached gingiva. Since she had systematically angina pectoris and dental phobia, minimal invasive free gingival graft after implants placement was planned. After 2 months of implant surgery, free gingival graft surgery was performed with healing abutments connection. The grafted gingiva was composed of two strip shaped free gingiva, and they were immobilized by periodontal pack. The width of attached gingival was increased to 4 to 5mm and well maintained during 10 months of follow up. With prosthesis delivery, the patients recovered ideal periodontal environment around implants and masticatory function. In conclusion, periodontal health and masticatory function could be achieved through implant placement and free gingival graft.

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참고문헌 (23)

Lang NP, Loe H. The relationship between the width of keratinized gingiva and gingival health. J Periodontol 1972;43(10):623-627.

상세보기
Miyasato M, Crigger M, Egelberg J. Gingival condition in areas of minimal and appreciable width of keratinized gingiva. J Clin Periodontol 1977;4(3):200-209.

상세보기
Friedman L, Levine HL. Mucogingival surgery: Current status. J Periodontol 1964;35:5-21.

상세보기
Ochsenbein C. Newer concept of mucogingival surgery. J Periodontol 1960;31:175-185.

상세보기
Adell R, Lekholm U, Rockler B, et al. Marginal tissue reactions at osseointegrated titanium fixtures (I). A 3-year longitudinal prospective study. Int J Oral Maxillofac Surg 1986;15(1):39-52.

상세보기
Bouri A, Jr., Bissada N, Al-Zahrani MS, et al. Width of keratinized gingiva and the health status of the supporting tissues around dental implants. Int J Oral Maxillofac Implants 2008;23(2):323-326.

상세보기
Schrott AR, Jimenez M, Hwang JW, et al. Five-year evaluation of the influence of keratinized mucosa on peri-implant soft-tissue health and stability around implants supporting full-arch mandibular fixed prostheses. Clin Oral Implants Res 2009;20(10):1170-1177.

상세보기
Heitz-Mayfield LJ, Needleman I, Salvi GE, Pjetursson BE. Consensus statements and clinical recommen dations for prevention and management of biologic and technical implant complications. Int J Oral Maxillofac Implants 2014;29 Suppl:346-350.
Basegmez C, Karabuda ZC, Demirel K, Yalcin S. The comparison of acellular dermal matrix allografts with free gingival grafts in the augmentation of peri-implant attached mucosa: a randomised controlled trial. Eur J Oral Implantol 2013;6(2):145-152.

상세보기
Sanz M, Lorenzo R, Aranda JJ, et al. Clinical evaluation of a new collagen matrix (Mucograft prototype) to enhance the width of keratinized tissue in patients with fixed prosthetic restorations: a randomized prospective clinical trial. J Clin Periodontol 2009;36(10):868-876.

상세보기
Carnio J, Camargo PM, Passanezi E. Increasing the apico-coronal dimension of attached gingiva using the modified apically repositioned flap technique: a case series with a 6-month follow-up. J Periodontol 2007;78(9):1825-1830

상세보기
Thoma DS, Buranawat B, Hammerle CH, et al. Efficacy of soft tissue augmentation around dental implants and in partially edentulous areas: a systematic review. J Clin Periodontol 2014;41 Suppl 15:S77-91.

상세보기
Landi L, Sabatucci D. Plastic surgery at the time of membrane removal around mandibular endosseous implants: a modified technique for implant uncovering. Int J Periodontics Restorative Dent 2001;21(3):280-287.
Han TJ, Takei HH, Carranza FA. The strip gingival autograft technique. Int J Periodontics Restorative Dent 1993;13(2):180-187.
Park JC, Yang KB, Choi Y, et al. A simple approach to preserve keratinized mucosa around implants using a pre-fabricated implant-retained stent: a report of two cases. J Periodontal Implant Sci 2010;40(4):194-200.

원문보기 상세보기
Hassani A, Sadrimanesh R, Vahdati SA, Sadreshkevari P. Free gingival graft immobilization: a pilot study on a newly designed stent. J Oral Implantol 2010;36(2):123-130.

상세보기
Araujo MG, Lindhe J. Dimensional ridge alterations following tooth extraction. An experimental study in the dog. J Clin Periodontol 2005;32(2):212-218.

상세보기
Sohn JY, Park JC, Cho KS, Kim CS. Simultaneous placement of an interpositional free gingival graft with nonsubmerged implant placement. J Periodontal Implant Sci 2014;44(2):94-99.

원문보기 상세보기
Cortellini P, Tonetti M, Baldi C, et al. Does placement of a connective tissue graft improve the outcomes of coronally advanced flap for coverage of single gingival recessions in upper anterior teeth? A multi-centre, randomized, double-blind, clinical trial. J Clin Periodontol 2009;36(1):68-79.
Park JB. Increasing the width of keratinized mucosa around endosseous implant using acellular dermal matrix allograft. Implant Dent 2006;15(3):275-281.

상세보기
Schmitt CM, Moest T, Lutz R, et al. Long-term outcomes after vestibuloplasty with a porcine collagen matrix (Mucograft ) versus the free gingival graft: a comparative prospective clinical trial. Clin Oral Implants Res 2015;00;1-9.
Cairo F, Cortellini P, Tonetti M, et al. Coronally advanced flap with and without connective tissue graft for the treatment of single maxillary gingival recession with loss of inter-dental attachment. A randomized controlled clinical trial. J Clin Periodontol 2012;39(8):760-768.

상세보기
Agudio G, Nieri M, Rotundo R, et al. Free gingival grafts to increase keratinized tissue: a retrospective long-term evaluation (10 to 25 years) of outcomes. J Periodontol 2008;79(4):587-594.

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근단변위판막술과 함께 유리치은이식술을 사용하여 임플란트 주변 각화치은을 증대시킨 2건의 증례 보고
Free gingival graft in combination with apically positioned flap for establishment of keratinized gingiva around the implants: Report of two cases 원문보기

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