Use of Buccal Fat Pad in the Treatment of Peri-Implant Mucosal Defect: A Case Report

被引:2
作者
Nascimento, Rodrigo Dias [1 ]
Goncalves, Tamires Stella [1 ]
Cardoso, Paula Elaine [2 ]
de Moraes, Michelle Bianchi [1 ]
Raldi, Fernando Vagner [1 ]
机构
[1] Sao Paulo State Univ, UNESP, Inst Sci & Technol Sao Jose dos Campos, Diag & Surg Dept, Sao Jose Dos Campos, SP, Brazil
[2] Sao Paulo State Univ, UNESP, Inst Sci & Technol Sao Jose dos Campos, Dept Restorat Dent, Sao Jose Dos Campos, SP, Brazil
关键词
dental implant; fat pad; periodontal atrophy; dental esthetics; TOOTH EXTRACTION; CLOSURE; BONE;
D O I
10.1563/aaid-joi-D-19-00212
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
The present study describes a clinical case in which the buccal fat pad (BFP) was used to improve the contour of the peri-implant mucosa. To our knowledge, this is the first case report of such an application in the literature. A 58-year-old woman presented with teeth #2 and #3 missing and an indication for extraction of tooth #4. After clinical examination and CBCT analysis, immediate implants were placed in the region of the extracted tooth and that of tooth #2 for prosthetic rehabilitation using a three-unit fixed partial denture. There was an extensive mucosal defect in the region of tooth #3, with vertical and horizontal changes in the contour of the mucosa. As an alternative to the use of a subepithelial connective tissue graft, we opted for displacement of the BFP and its accommodation on the alveolar ridge of tooth #3 to improve the buccal tissue contour. After 5 years of follow-up, satisfactory gain and maintenance of mucosal volume were observed in the treated area, as well as improvement of buccal tissue contour. The use of BFP seems to be a feasible alternative for filling and treating peri-implant mucosal defects.
引用
收藏
页码:128 / 132
页数:5
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