Blasi Gonzalo, Abrahamian Lory, Blasi Alvaro
Department of Periodontology, School of Dentistry, International University of Catalonia, Barcelona, Spain.
Division of Periodontics, Department of Advanced Oral Sciences and Therapeutics, University of Maryland, Baltimore School of Dentistry, Baltimore, Maryland, USA.
Clin Adv Periodontics. 2025 Jun;15(2):150-159. doi: 10.1002/cap.10299. Epub 2024 Jun 10.
As the need for using dental implants to replace single missing teeth grows, so does the demand for greater esthetic results. However, achieving complete interproximal papillae fill in single-tooth implant restorations remains a challenge. The distally anchored connective tissue platform is a novel soft tissue augmentation technique that consists of harvesting an autogenous connective tissue graft from the palate, folding it, and positioning it at the level of the distal occlusal and buccal surfaces with the help of a distal sling suture to the adjacent distal tooth.
This case report describes how a maxillary central incisor with compromised hard and soft tissues were replaced using a comprehensive treatment plan.
The clinical outcomes showed stable mucosal margin levels and complete papillae fill. The patient expressed satisfaction with the achieved results.
The distally anchored connective tissue graft platform performed at the time of implant placement emerges as a viable and effective soft tissue augmentation technique that yields highly esthetic results.
Why is this case new information? To the best of our knowledge, this is the first case report in the literature using the distally anchored connective tissue platform. What are the keys to successful management of this case? Adequate diagnosis and decision-making, resulting in a treatment plan focused on reconstructing both soft and hard tissues in a single-tooth implant within the esthetic area, yield favorable clinical, radiological, and patient-reported outcomes. What are the primary limitations to success in this case? The primary limitation of this study is its reliance on a single case report.
随着使用牙种植体替代单个缺失牙的需求不断增长,对更美观效果的需求也在增加。然而,在单颗牙种植修复中实现完全的邻间隙乳头填充仍然是一项挑战。远端锚定结缔组织平台是一种新型软组织增量技术,该技术包括从腭部采集自体结缔组织移植物,将其折叠,并借助远端吊线缝合至相邻远端牙齿,将其定位在远端咬合面和颊面水平。
本病例报告描述了如何使用综合治疗计划替换软硬组织受损的上颌中切牙。
临床结果显示黏膜边缘水平稳定且乳头完全填充。患者对所取得的结果表示满意。
在种植体植入时进行的远端锚定结缔组织移植物平台是一种可行且有效的软组织增量技术,可产生高度美观的效果。
为什么这个病例是新信息?据我们所知,这是文献中首例使用远端锚定结缔组织平台的病例报告。该病例成功管理的关键是什么?充分的诊断和决策,从而制定出专注于在美学区域单颗牙种植中重建软硬组织的治疗计划,可产生良好的临床、放射学和患者报告结果。该病例成功的主要限制是什么?本研究的主要限制在于其依赖单病例报告。