Volume 2 - Issue 1 (Nov-Jan) - IJMD

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Case ReportDiscussionFigure 1. Figure 2. Figure 3.The outcome achieved from this treatment was to achieveemergence profile with adequate amount of gingivaltissue. Use of connective tissue graft (CTG) for gingivalaugmentation is a common practice in periodontics.Case 1Figure 1. Initial incision.Figure 2. Gingival roll flap.Figure 3. Closure around healing cap.Figure 4. Gingival augmentation (occlusal).Figure 5. Augmentation (Facial).Figure 6. Gingival final prosthesis.394Indian Journal of Multidisciplinary Dentistry, Vol. 2, Issue 1, November 2011 to January 2012
Case ReportCase 2Figure 7. Initial incision.Figure 8. Gingival roll flap.Figure 9. Closure with temporary crown.Figure 11. Augmentation (facial).Although, it helps in achieving gingival augmentationthere are two surgical sites which have to be preparedfor the procedure. In this case, the second surgical siteis blended with the same surgical site extracting theCTG for gingival augmentation. As mentioned earlier,insufficient peri-implant tissues may cause a nutritiveundersupply of the bone resulting in implant loss dueto resorption. 3 Proper gingival architecture is especiallyimportant in relation to anterior esthetics. 4Figure 10. Gingival augmentation (occlusal).References1.2.3.4.5.6.Hurzeler MB, Weng D. Periimplant tissue management:optimal timing for an aesthetic result. Pract PeriodonticsAesthet Dent 1996;8(9):857-69; quiz 869.Weber HP, Cochran DL. The soft tissue responseto osseointegrated dental implants. J Prosthet Dent1998;79(1):79-89.Albrektsson T, Bränemark PI, Hansson HA, LindströmJ. Osseointegrated titanium implants. Requirements forensuring a long-lasting, direct bone-to-implant anchoragein man. Acta Orthop Scand 1981;52(2):155-70.Lazzara RJ. Managing the soft tissue margin: the keyto implant aesthetics. Pract Periodontics Aesthet Dent1993;5(5):81-8.Cranin AN. Implant surgery: the management of softtissues. J Oral Implantol 2002;28(5):230-7.Heller AL, Heller RL, Cook G, D’Orazio R, Rutkowski J.Soft tissue management techniques for implant dentistry:A clinical guide. J Oral Implantol 2000;26(2):91-103.Indian Journal of Multidisciplinary Dentistry, Vol. 2, Issue 1, November 2011 to January 2012395
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