Moslemi Neda, Rahami Mahdie, Shokri Mohammad, Khoshkhou Hossein, Raee Amir
Department of Periodontology, School of Dentistry Tehran University of Medical Sciences Tehran Iran.
School of Dentistry Tehran University of Medical Sciences Tehran Iran.
Clin Case Rep. 2025 Aug 6;13(8):e70781. doi: 10.1002/ccr3.70781. eCollection 2025 Aug.
This case report represents soft tissue management around a dental implant in the upper lateral incisor area in a young female with a high esthetic demand and excessive gingival display. During implant placement, a soft tissue augmentation utilizing connective tissue graft was conducted to augment the interproximal papilla around the implant. However, the coronally flap advancement resulted in mucogingival distortion and a lack of a sufficient amount of keratinized mucosa around the dental implant. In order to achieve an aesthetically acceptable color and texture match, a free gingival graft (FGG) was harvested from the buccal gingival tissue in the premolar site instead of the palatal site. In the follow-up visits, the mucosa around the implant was quite comparable to the gingiva around the adjacent teeth. It seems that the "buccal gingiva" can be considered as the first choice of donor site for FGG in the esthetic zone.
本病例报告展示了一名对美观要求较高且牙龈过度外露的年轻女性上颌侧切牙区域牙种植体周围的软组织处理情况。在种植体植入过程中，采用结缔组织移植进行软组织增量，以增加种植体周围邻间隙乳头。然而，冠状瓣推进导致了膜龈变形以及种植体周围角化黏膜量不足。为了实现美学上可接受的颜色和质地匹配，从磨牙区颊侧牙龈组织而非腭侧获取了游离龈瓣（FGG）。在随访中，种植体周围黏膜与相邻牙齿周围牙龈相当。似乎在美学区域，“颊侧牙龈”可被视为FGG供区的首选。
