Mayta-Tovalino Frank, Rosas José, Mauricio Franco, Luza Silvia, Alvitez-Temoche Daniel, Mauricio-Vilchez Cesar
Postgraduate Department, Faculty of Health Sciences, Universidad Cientifica del Sur, Lima, Peru.
Academic Department of Rehabilitative Stomatology, Faculty of Dentistry, Universidad Nacional Mayor de San Marcos, Lima, Peru.
J Int Soc Prev Community Dent. 2021 Jan 30;11(1):109-113. doi: 10.4103/jispcd.JISPCD_292_20. eCollection 2021 Jan-Feb.
The purpose of this case report was to describe a technique to modify the free gingival graft by perforations within the graft to guarantee a horizontal increase in the keratinized mucosa in the anteroinferior sector of a total edentulous mandible after osseointegration of previously placed dental implants in a hybrid prosthesis protocol. A 71-year-old male underwent free modified gingival graft surgery with perforations at the level of each implant. At 3 months, the mucosa appeared to be healthy and keratinized, especially at a horizontal level around the implants previously diagnosed with mucositis, providing the patient with satisfactory results. Finally, the hybrid prosthesis was cleaned and polished due to the presentation of a hard plate at the level of the abutments. Within the limitations of this case report, further research is needed to evaluate the long-term efficacy of this modification to the free gingival graft.
本病例报告的目的是描述一种通过在移植片上打孔来改良游离牙龈移植片的技术，以确保在采用混合修复方案将先前植入的牙种植体进行骨整合后，全口无牙下颌骨前下区域的角化黏膜水平增加。一名71岁男性接受了游离改良牙龈移植手术，在每个种植体水平处打孔。3个月时，黏膜看起来健康且角化，尤其是在先前诊断为黏膜炎的种植体周围的水平方向，为患者提供了满意的结果。最后，由于基台水平处出现硬板，对混合修复体进行了清洁和抛光。在本病例报告的局限性范围内，需要进一步研究来评估这种游离牙龈移植改良术的长期疗效。
