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International Journal of Periodontics & Restorative Dentistry



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Int J Periodontics Restorative Dent 36 (2016), No. 5     30. Aug. 2016
Int J Periodontics Restorative Dent 36 (2016), No. 5  (30.08.2016)

Page 620-630, doi:10.11607/prd.2537, PubMed:27560667

Transmucosal Implant Placement with Submarginal Connective Tissue Graft in Area of Shallow Buccal Bone Dehiscence: A Three-Year Follow-Up Case Series
Stefanini, Martina / Felice, Pietro / Mazzotti, Claudio / Marzadori, Matteo / Gherlone, Enrico F. / Zucchelli, Giovanni
The aim of the present case series study was to evaluate the short- and longterm (3 years) soft tissue stability of a surgical technique combining transmucosal implant placement with submarginal connective tissue graft (CTG) in an area of shallow buccal bone dehiscence. A sample of 20 patients were treated by positioning a transmucosal implant in an intercalated edentulous area. A CTG sutured to the inner aspect of the buccal flap was used to cover the shallow buccal bone dehiscence. Clinical evaluations were made at 6 months (T1) and 1 (T2) and 3 (T3) years after the surgery. Statistically significant increases in buccal soft tissue thickness and improvement of vertical soft tissue level were achieved at the T1, T2, and T3 follow-ups. A significant increase in keratinized tissue height was also found at T3. No significant marginal bone loss was recorded. The submarginal CTG technique was able to provide simultaneous vertical and horizontal soft tissue increases around single implants with shallow buccal bone dehiscence and no buccal mucosal recession or clinical signs of mucositis or peri-implantitis at 1 and 3 years.