Free Gingival Graft to Increase Keratinized Mucosa after Placing of Mandibular Fixed Implant-Supported Prosthesis

Insufficiently keratinized tissue can be increased surgically by free gingival grafting. The presence or reconstruction of keratinized mucosa around the implant can facilitate restorative procedure and allow the maintenance of an oral hygiene routine without irritation or discomfort to the patient....

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Main Authors: Danny Omar Mendoza Marin, Andressa Rosa Perin Leite, Lélis Gustavo Nícoli, Claudio Marcantonio, Marco Antonio Compagnoni, Elcio Marcantonio
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2017/5796768
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author Danny Omar Mendoza Marin
Andressa Rosa Perin Leite
Lélis Gustavo Nícoli
Claudio Marcantonio
Marco Antonio Compagnoni
Elcio Marcantonio
author_facet Danny Omar Mendoza Marin
Andressa Rosa Perin Leite
Lélis Gustavo Nícoli
Claudio Marcantonio
Marco Antonio Compagnoni
Elcio Marcantonio
author_sort Danny Omar Mendoza Marin
collection DOAJ
description Insufficiently keratinized tissue can be increased surgically by free gingival grafting. The presence or reconstruction of keratinized mucosa around the implant can facilitate restorative procedure and allow the maintenance of an oral hygiene routine without irritation or discomfort to the patient. The aim of this clinical case report is to describe an oral rehabilitation procedure of an edentulous patient with absence of keratinized mucosa in the interforaminal area, using a free gingival graft associated with a mandibular fixed implant-supported prosthesis. The treatment included the manufacturing of a maxillary complete denture and a mandibular fixed implant-supported prosthesis followed by a free gingival graft to increase the width of the mandibular keratinized mucosa. Free gingival graft was obtained from the palate and grafted on the buccal side of interforaminal area. The follow-up of 02 and 12 months after mucogingival surgery showed that the free gingival graft promoted peri-implant health, hygiene, and patient comfort. Clinical Significance. The free gingival graft is an effective treatment in increasing the width of mandibular keratinized mucosa on the buccal side of the interforaminal area and provided an improvement in maintaining the health of peri-implant tissues which allows for better oral hygiene.
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spelling doaj-art-e77588b6856641a08f9ae6ec669c698c2025-02-03T01:01:40ZengWileyCase Reports in Dentistry2090-64472090-64552017-01-01201710.1155/2017/57967685796768Free Gingival Graft to Increase Keratinized Mucosa after Placing of Mandibular Fixed Implant-Supported ProsthesisDanny Omar Mendoza Marin0Andressa Rosa Perin Leite1Lélis Gustavo Nícoli2Claudio Marcantonio3Marco Antonio Compagnoni4Elcio Marcantonio5Araraquara Dental School, Department of Dental Materials and Prosthodontics, Universidade Estadual Paulista (UNESP), Araraquara, SP, BrazilAraraquara Dental School, Department of Dental Materials and Prosthodontics, Universidade Estadual Paulista (UNESP), Araraquara, SP, BrazilAraraquara Dental School, Department of Diagnosis and Surgery, Universidade Estadual Paulista (UNESP), Araraquara, SP, BrazilAraraquara Dental School, Department of Postgraduate Studies in Implantology, University Center of Araraquara (UNIARA), Araraquara, SP, BrazilAraraquara Dental School, Department of Dental Materials and Prosthodontics, Universidade Estadual Paulista (UNESP), Araraquara, SP, BrazilAraraquara Dental School, Department of Diagnosis and Surgery, Universidade Estadual Paulista (UNESP), Araraquara, SP, BrazilInsufficiently keratinized tissue can be increased surgically by free gingival grafting. The presence or reconstruction of keratinized mucosa around the implant can facilitate restorative procedure and allow the maintenance of an oral hygiene routine without irritation or discomfort to the patient. The aim of this clinical case report is to describe an oral rehabilitation procedure of an edentulous patient with absence of keratinized mucosa in the interforaminal area, using a free gingival graft associated with a mandibular fixed implant-supported prosthesis. The treatment included the manufacturing of a maxillary complete denture and a mandibular fixed implant-supported prosthesis followed by a free gingival graft to increase the width of the mandibular keratinized mucosa. Free gingival graft was obtained from the palate and grafted on the buccal side of interforaminal area. The follow-up of 02 and 12 months after mucogingival surgery showed that the free gingival graft promoted peri-implant health, hygiene, and patient comfort. Clinical Significance. The free gingival graft is an effective treatment in increasing the width of mandibular keratinized mucosa on the buccal side of the interforaminal area and provided an improvement in maintaining the health of peri-implant tissues which allows for better oral hygiene.http://dx.doi.org/10.1155/2017/5796768
spellingShingle Danny Omar Mendoza Marin
Andressa Rosa Perin Leite
Lélis Gustavo Nícoli
Claudio Marcantonio
Marco Antonio Compagnoni
Elcio Marcantonio
Free Gingival Graft to Increase Keratinized Mucosa after Placing of Mandibular Fixed Implant-Supported Prosthesis
Case Reports in Dentistry
title Free Gingival Graft to Increase Keratinized Mucosa after Placing of Mandibular Fixed Implant-Supported Prosthesis
title_full Free Gingival Graft to Increase Keratinized Mucosa after Placing of Mandibular Fixed Implant-Supported Prosthesis
title_fullStr Free Gingival Graft to Increase Keratinized Mucosa after Placing of Mandibular Fixed Implant-Supported Prosthesis
title_full_unstemmed Free Gingival Graft to Increase Keratinized Mucosa after Placing of Mandibular Fixed Implant-Supported Prosthesis
title_short Free Gingival Graft to Increase Keratinized Mucosa after Placing of Mandibular Fixed Implant-Supported Prosthesis
title_sort free gingival graft to increase keratinized mucosa after placing of mandibular fixed implant supported prosthesis
url http://dx.doi.org/10.1155/2017/5796768
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