Pavón Pablo, Fons-Badal Carla, Pérez-Rostoll Natalia, Alonso-Pérez-Barquero Jorge, Solá-Ruiz María Fernanda, Agustín-Panadero Rubén
Private Practice, 46005 Seville, Spain.
Department of Oral Medicine, Faculty of Medicine and Dentistry, University of Valencia, C/Gascó Oliag, 1, 46010 Valencia, Spain.
J Clin Med. 2025 Jul 14;14(14):4974. doi: 10.3390/jcm14144974.
: Peri-implant mucosa plays a key role in both peri-implant health and aesthetics. Differences in contour and color between implants and natural teeth can negatively affect patient satisfaction, while soft tissue deficiency may lead to complications such as peri-implantitis. Peri-implant plastic surgery aims to improve these conditions. The objective of this study is to describe the trouser-shaped connective tissue graft technique designed to enhance vestibular and interproximal peri-implant tissue volume in a single surgical procedure, and to assess its effectiveness and morbidity. : Ten patients requiring soft tissue augmentation in edentulous areas prior to delayed implant placement were selected. Intraoral scanning was performed before and 6 months after treatment to evaluate tissue thickness gain. : Significant soft tissue volume gain was observed at both the coronal (mean: 2.74 mm with a 95% confidence interval of 2.21-3.26 mm) and vestibular (mean: 2.79 mm with a 95% confidence interval of 2.24-3.35 mm) levels in all analyzed positions ( < 0.001). The procedure exhibited low morbidity, with minimal complications and discomfort reported by the patients. : The trouser-shaped connective tissue graft technique is effective in increasing peri-implant soft tissue. It allows for vestibular and interproximal tissue augmentation in a single procedure, minimizing tissue contraction and morbidity. This technique could be a predictable and minimally invasive alternative for managing volume deficiencies in peri-implant tissues, particularly in aesthetic areas.
种植体周围黏膜在种植体周围健康和美观方面均起着关键作用。种植体与天然牙之间在外形和颜色上的差异会对患者满意度产生负面影响，而软组织缺损可能会导致诸如种植体周围炎等并发症。种植体周围整形手术旨在改善这些情况。本研究的目的是描述一种裤形结缔组织移植技术，该技术旨在通过单一外科手术来增加种植体周围前庭和邻间隙的组织量，并评估其有效性和发病率。：选择10例在延期种植体植入前需要在无牙区进行软组织增量的患者。在治疗前和治疗后6个月进行口腔内扫描，以评估组织厚度增加情况。：在所有分析部位的冠方（平均：2.74mm，95%置信区间为2.21 - 3.26mm）和前庭（平均：2.79mm，95%置信区间为2.24 - 3.35mm）水平均观察到显著的软组织量增加（<0.001）。该手术发病率低，患者报告的并发症和不适极少。：裤形结缔组织移植技术在增加种植体周围软组织方面有效。它能够通过单一手术实现前庭和邻间隙组织增量，将组织收缩和发病率降至最低。对于处理种植体周围组织的容量不足，尤其是在美观区域，该技术可能是一种可预测且微创的替代方法。
