Implant Placement with Palatal Access Flap (PAF) for Facial Tissue Preservation in the Esthetic Zone: A Retrospective Case Series

被引:1
作者
Saleh, Islam [1 ]
George, Fuart [2 ]
Mendonca, Gustavo [2 ]
Wang, Hom-Lay [1 ]
Chan, Hsun-Liang [1 ]
机构
[1] Univ Michigan, Sch Dent, Dept Periodont & Oral Med, Grad Periodont, Ann Arbor, MI 48109 USA
[2] Univ Michigan, Sch Dent, Dept Biol & Mat Sci, Div Prosthodont, Ann Arbor, MI 48109 USA
关键词
GUIDED BONE REGENERATION; SINGLE-TOOTH; SOFT-TISSUE; IMMEDIATE; SITES; DIMENSIONS; THICKNESS; DEFECTS; SURGERY;
D O I
10.11607/prd.4453
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Conventional crestal and intrasulcular incisions followed by full-thickness flap reflection may inevitably induce surgical trauma, resulting in facial contour reduction, mucosal recession, and interdental papilla loss. Flapless implant surgery is the most conservative approach; however, it might create undetectable bone fenestration/dehiscence and subsequent complications. The present clinical study introduces a modified and minimally invasive approach, the palatal access flap (PAF), for placing implants in the esthetic zone. Preliminary data of 15 consecutive cases demonstrated clinically negligible soft tissue contour changes when pre- and postoperative 3D model scans were compared. The PAF technique could be a surgical solution, especially for patients with a high esthetic risk, to maintain facial and interproximal tissue contours for the implant site and adjacent teeth.
引用
收藏
页码:743 / 750
页数:8
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