Azar David E
Private Practice, New York, New York.
Compend Contin Educ Dent. 2015 Apr;36(4):290-2, 294, 296-7.
The focus in implantology today is on the need to achieve results that are not only functional but also long-lasting and highly esthetic. Increased width and thickness of keratinized mucosa (KM) around dental implants, which is now widely recognized to be associated with better long-term success than implants without KM, addresses these goals. This is especially important in the esthetic zone, where marginal recession can be of concern. The author describes the following methods of implant uncovering that emphasize enhancement of the keratinized mucosa: the punch technique; buccally advanced flap; roll flap; tissue preservation technique; free connective tissue graft; and pedicle flap.
当今种植牙学的重点在于需要实现不仅功能良好,而且持久且美观度高的效果。牙种植体周围角化黏膜(KM)宽度和厚度的增加,现已被广泛认为与比没有角化黏膜的种植体更好的长期成功率相关,这实现了这些目标。这在美学区域尤为重要,因为边缘退缩可能令人担忧。作者描述了以下强调增强角化黏膜的种植体暴露方法:冲孔技术;颊侧推进瓣;卷瓣;组织保存技术;游离结缔组织移植;以及带蒂瓣。