Hybrid Connective Tissue - Epithelial graft for the increase of keratinised mucosa around implant. скачать в хорошем качестве

Hybrid Connective Tissue - Epithelial graft for the increase of keratinised mucosa around implant.

The patient is referred for the creating of a zone of keratinised mucosa, buccal of the implant crown #46. After removal of the crown and placement of a healing abutment, a split-thickness, apically repositioned flap buccal of the implant is executed. The buccal side of the flap is fixed in an apical position with lateral sutures, exposing the periosteum. A mixed connective tissue - epithelial graft is harvested from the palate and fixed on the buccal flap, with the connective tissue component sutured against the flap, while the epithelial component is sticking out on top of the apically repositioned flap. The grafted area is stabilised with mattress and single interrupted sutures and the site is left to heal with the healing abutment for 6 weeks, after which the crown is being placed back. The mixed CT-epithelial tissue graft allows for better vascularisation of the graft, which is now supported by the sizeable connective tissue attached to the split-thickness pocket and not only from the periosteum of the recipient site. This graft can allow for the predictable creation of a keratinized zone of adequate width, while mildly augmenting the volume as well. Stabilisation of the wound while avoiding over-compression is one of the challenges of the suturing technique. Follow us at http://www.mattheos.net