Treatment of Implants with Inadequate Attached Gingiva with Free Gingival Graft

Year 2023, Volume: 10 Issue: 4, 322 - 326, 15.06.2023

Yunus Emre Balaban , Sefa Aydındoğan

https://doi.org/10.15311/selcukdentj.1239186

Abstract

One of the most important factors for the long-term success of implants is the presence of adequate keratinized gingiva around the implant. Inadequate amount of keratinized gingiva around the implant can lead to inadequate oral hygiene, plaque accumulation, gingival inflammation, bleeding on probing, gingival recession and alveolar bone loss, which may result in long-term implant failure. Among the many surgical techniques used to increase the amount of keratinized gingiva, free gingival graft is the most commonly used method to increase the amount of keratinized gingiva and soft tissue thickness in natural teeth and implant areas. In this case report, the 6-month results of increasing the amount of keratinized gingiva using free gingival graft of implants with inadequate amount of keratinized gingiva of 3 different patients are presented.

Keywords

free gingival graft, periimplantitis, keratinized gingiva

Yapışık Dişeti Miktarı Yetersiz İmplantların Serbest Dişeti Greftiyle Tedavisi

Abstract

İmplantların uzun dönem başarıları için gereken en önemli faktörlerden birisi implant çevresinde yeterli keratinize diş eti varlığıdır. İmplant çevresinde keratinize diş eti miktarının yetersiz olması, oral hijyenin istenilen düzeyde sağlanamamasına, plak birikimine, gingival enflamasyona, sondlamada kanamaya, diş eti çekilmesine ve alveoler kemik kaybına neden olabilmekte bu da uzun dönemde implant başarısızlığı ile sonuçlanabilmektedir. Yapışık diş eti miktarını artırmak için kullanılan çok sayıda cerrahi teknik arasından serbest diş eti grefti, doğal dişlerde ve implant bölgelerinde keratinize diş eti miktarı ve yumuşak doku kalınlığını artırmak için en sık kullanılan yöntemdir. Bu olgu sunumunda 3 ayrı hastaya ait, yapışık diş eti miktarı yetersiz olan implantların, serbest diş eti grefti kullanılarak yapışık diş eti miktarı artırımının 6 aylık sonuçları sunulmaktadır.

Keywords

serbest dişeti grefti, periimplantitis, keratinize dişeti

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