Meda Ramón Gómez, Calatrava Javier, Misch Jon, Wang Hom-Lay
Int J Periodontics Restorative Dent. 2025 Jan 7;0(0):1-26. doi: 10.11607/prd.7412.
Bone augmentation procedures often leads to coronal displacement of the mucogingival junction, a deficiency of keratinized mucosa, and a reduction in soft tissue height. These challenges complicate the achievement of an ideal peri-implant phenotype. It is known that addressing both the quantity and quality of soft tissue is crucial for the long-term success and aesthetics of implants. This paper introduces a novel technique for peri-implant phenotype modification following bone augmentation, which combines a modified onlay graft (MOG) with an apically positioned flap (APF) performed simultaneously with implant placement. Two clinical cases are presented to demonstrate this approach, highlighting the restoration of the soft tissue environment through a single surgical intervention. The technique resulted in successful outcomes, including increased vestibular depth, keratinized tissue width, and vertical soft tissue volume. The modified onlay graft technique effectively manages soft tissue in post-bone augmentation scenarios, providing an ideal peri-implant phenotype and leading to stable, aesthetic, and functional implant restorations. This method requires fewer surgical interventions than traditional alternatives, minimizing patient discomfort and enhancing overall treatment outcomes.
骨增量手术常常导致龈黏膜交界的冠向移位、角化黏膜不足以及软组织高度降低。这些挑战使得实现理想的种植体周围组织形态变得复杂。众所周知，解决软组织的数量和质量问题对于种植体的长期成功和美观至关重要。本文介绍了一种在骨增量后进行种植体周围组织形态改良的新技术，该技术将改良覆盖植骨术（MOG）与在种植体植入时同时进行的根向复位瓣（APF）相结合。文中展示了两个临床病例以说明这种方法，强调通过单次手术干预恢复软组织环境。该技术取得了成功的结果，包括前庭深度增加、角化组织宽度增加以及垂直软组织体积增加。改良覆盖植骨术能有效处理骨增量后的软组织情况，提供理想的种植体周围组织形态，并带来稳定、美观且功能良好的种植体修复。与传统方法相比，这种方法所需的手术干预更少，可将患者不适降至最低并提高整体治疗效果。
