임플란트 주변 각화 조직을 증가시키기 위한 외과적 술식의 임상적 평가 : 증례 보고
Clinical evaluation of surgical approach to increase keratinized tissue around implants: A case report
신희종, 권영선, 김병옥, 유상준,
소속 상세정보
신희종 ( Shin Hee-Jong ) - 조선대학교 치의학전문대학원 치주과학교실
권영선 ( Kwon Young-Sun ) - 전주 미소모아 치과
김병옥 ( Kim Byung-Ock ) - 조선대학교 치의학전문대학원 치주과학교실
유상준 ( Yu Sang-Joun ) - 조선대학교 치의학전문대학원 치주과학교실
KMID : 1034220130050020019
Abstract
Considerations for improvement of soft tissue around implants are the width of keratinized gingiva and the thickness of surrounding soft tissue. There has been a lot of controversy over the necessity of the proper keratinized gingival width in implants to maintain periodontal health. However, when enough keratinized gingiva exists around implants, it is more esthetic, becomes more resistant to gingival recession or periodontal attachment loss and has an effect of reducing inflammation and discomfort in managing oral hygiene clinically. Therefore, the keratinized gingiva is clinically and biologically valuable even though the necessity of it is still a controversial issue scientifically. Through 3 clinical cases, apically positioned flap with autogenous tissue graft showed result of increasing keratinized gingiva around implants and deepening vestibular depth. Furthermore, attained keratinized gingiva showed 17 ~ 2% contraction after 10 ~ 13 months, but it still maintained without any complications. Therefore, such surgical approach in implant surgery is suggested as predictable method as it is also used in natural teeth for increasing keratinized tissue around implants and deepening vestibular depth.
키워드
dental implant; keratinized gingiva; apically positioned flap; autogenous tissue graft
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