Quispe-López Norberto, Flores-Fraile Javier, Fernández-Baca Ignacio, Sánchez-Santos Juan, Mena-Álvarez Jesús, Montero-Martín Javier
Int J Periodontics Restorative Dent. 2023 Sep-Oct;43(5):614-621. doi: 10.11607/prd.6151.
Peri-implant soft tissue deformities are an increasingly common phenomenon in the esthetic zone. While the most widely studied esthetic complications are peri-implant soft tissue dehiscences, there are other esthetic concerns in routine clinical practice that require investigation and treatment. Thus, this report on two clinical cases describes a surgical approach using the apical access technique to treat peri-implant soft tissue discoloration and fenestration. In both clinical scenarios, the defect was accessed via a single horizontal apical incision without removing the cement-retained crowns. A bilaminar technique using apical access with a simultaneous connective tissue graft seems to offer promising results for the treatment of peri-implant soft tissue deformities. At the 12-month reevaluation, an increase in peri-implant soft tissue thickness was observed, resolving the pathologies presented.
种植体周围软组织畸形在美学区域是一种日益常见的现象。虽然研究最广泛的美学并发症是种植体周围软组织裂开，但在常规临床实践中还有其他美学问题需要研究和治疗。因此，本报告通过两个临床病例描述了一种使用根尖入路技术治疗种植体周围软组织变色和开窗的手术方法。在这两个临床病例中，通过单一水平根尖切口进入缺损部位，而无需移除粘结固位冠。使用根尖入路同时进行结缔组织移植的双层技术似乎为治疗种植体周围软组织畸形提供了有希望的结果。在12个月的复查中，观察到种植体周围软组织厚度增加，解决了所出现的病变问题。
