Kulkarni Mihir Raghavendra, Bakshi Purva Vijay, Kavlekar Abhishek Somanath, Thakur Srinath Lakshman
Department of Periodontics, SDM College of Dental Sciences and Hospital, Dharwad, India.
Department of Dentistry, Vivekanand General Hospital, Hubballi, Karnataka, India.
J Indian Soc Periodontol. 2017 Jul-Aug;21(4):333-336. doi: 10.4103/jisp.jisp_87_17.
Abrams's palatal roll technique has been used extensively to augment peri-implant soft tissues in the maxillary esthetic zone and has seen numerous modifications. An adaptation of the palatal roll technique is described here and its simplicity of application in three different scenarios is demonstrated. At second-stage implant surgery, a partial thickness initial incision followed by a palatal subepithelial dissection at the site of implant was done and a connective tissue graft with a buccal pedicle was obtained. The graft was rolled under the buccal flap and allowed to heal with the support of a healing abutment. The graft healed uneventfully and provided excellent contours of tissues around the implant. The procedure demonstrated good results for augmentation of a buccal ridge deficiency, for covering exposed and unsightly implant fixtures and was also done with a papilla preservation incision. In addition, a second surgical site to obtain the connective tissue graft was avoided.
艾布拉姆斯腭部卷瓣技术已被广泛用于上颌美学区种植体周围软组织增量，并经历了多次改良。本文描述了腭部卷瓣技术的一种改良方法，并展示了其在三种不同情况下应用的简便性。在二期种植手术中，先做一个部分厚度的初始切口，然后在种植体部位进行腭部上皮下剥离，获取带颊侧蒂的结缔组织瓣。将瓣卷至颊侧瓣下方，在愈合基台的支撑下使其愈合。瓣顺利愈合，种植体周围组织轮廓良好。该手术在颊侧牙槽嵴缺损增量、覆盖暴露且不美观的种植体基台方面效果良好，且采用了保留乳头的切口。此外，避免了开辟第二个手术部位来获取结缔组织瓣。
