Kirmani Mahira, Zia Afaf, Ahad Abdul, Bey Afshan
Department of Periodontics, Dr. Ziauddin Ahmad Dental College, Faculty of Medicine, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.
J Indian Soc Periodontol. 2018 Nov-Dec;22(6):555-558. doi: 10.4103/jisp.jisp_152_18.
Esthetic rehabilitation of edentulous site with horizontal ridge deficiency presents as one of the most challenging situations in implant practice. With the increase in popularity of dental implants, augmentation of the alveolar ridge and soft tissue has also become a routine procedure in most of the cases. Although hard-tissue augmentation is performed by other specialists also, a periodontist needs to master the skills of soft-tissue management to deliver esthetic and functional results in implant-supported prostheses. This case report presents a single-staged ridge split approach using piezoelectric surgery with simultaneous implant placement followed by connective tissue grafting at second-stage surgery. Single-staged segmental ridge split technique not only reduces the total treatment duration but also the surgical morbidity for the patient. A subepithelial connective tissue graft is strongly advocated around implants as it is highly predictable while ensuring better esthetic results in terms of tissue color, texture, and long-term stability of the surrounding mucosa.
在种植实践中，对存在水平牙槽嵴缺损的无牙区进行美学修复是最具挑战性的情况之一。随着牙种植体的日益普及，牙槽嵴和软组织增量在大多数情况下也已成为常规操作。尽管其他专科医生也会进行硬组织增量，但牙周病医生需要掌握软组织管理技能，以便在种植支持的修复体中实现美学和功能效果。本病例报告介绍了一种单阶段牙槽嵴劈开术，采用压电手术并同时植入种植体，随后在二期手术时进行结缔组织移植。单阶段节段性牙槽嵴劈开技术不仅缩短了总治疗时间，还降低了患者的手术并发症发生率。强烈主张在种植体周围采用上皮下结缔组织移植，因为它具有高度可预测性，同时能在组织颜色、质地和周围黏膜的长期稳定性方面确保更好的美学效果。
