Management of Peri-implant Mucositis of Multiple Osseointegrated Implants Using a Modified Free Gingival Graft “Punch Technique” in the Total Edentulous Area: A Case Report
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2020Autor(es)
Rosas, José
Mayta-Tovalino, Frank
Mauricio, Franco
Luza, Silvia
Alvitez-Temoche, Daniel
Mauricio-Vilchez, Cesar
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The purpose of this case report was to describe a technique to modify the free
gingival graft by perforations within the graft to guarantee a horizontal increase
in the keratinized mucosa in the anteroinferior sector of a total edentulous
mandible after osseointegration of previously placed dental implants in a hybrid
prosthesis protocol. A 71-year-old male underwent free modified gingival graft
surgery with perforations at the level of each implant. At 3 months, the mucosa
appeared to be healthy and keratinized, especially at a horizontal level around
the implants previously diagnosed with mucositis, providing the patient with
satisfactory results. Finally, the hybrid prosthesis was cleaned and polished due
to the presentation of a hard plate at the level of the abutments. Within the
limitations of this case report, further research is needed to evaluate the longterm efficacy of this modification to the free gingival graft.
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