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16 published cases · 119 figures, in the order the authors published them.
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Wen 2024
Palatal Pedicle Connective Tissue for Reconstruction of Through-and-Through Soft Tissue Defects in Esthetic Zone Around a Dental Implant: An 8-Year Follow-Up Case ReportCase Reports in Dentistry 2024doi:10.1155/2024/9936222
Wen et al. 2024. Reproduced under CC BY.
Figure 1Clinical and radiographic views 3 months postoperative of immediate implant placement. (a) The labial view showing a fistula and papillary recession mesial and distal to the 11. (b) The occlusal view displaying labial peri-implant soft tissue contour collapse. (c, d) The radiographic view 3 months postoperative of implant placement exhibiting no radiolucent lesion around the implant and no resorption of the peri-implant bone. (e) The labial view showed soft tissue recession of TTSD. (f) The lingual view showed soft tissue recession of TTSDFigure 2Surgical procedures for transplantation of PPCTF. (a) The labial view of TTSD showing subsided inflammation but horizontally and vertically collapsed peri-implant soft tissue contour. (b) The occlusal view of TTSD revealing recession on the labial–palatal dimension of peri-implant soft tissue and the multidimensional penetrating dehiscence. (c) The peri-implant soft tissue was deepithelialized using a rotating diamond burr (arrow), and incisions on the palatal side were made to raise a partial thickness flap with proper thickness. (d) A PPCTF was elevated to cross the labial–palatal dimension and restore the deepithelialized area around the implant. (e) The PPCTF was mobilized and sutured into the partial thickness flap pocket labial to the implant. (f) Suture fixation around the implant. (g) The vacuum-formed palatal plate with dual functions of wound protection and compression shaping. (h) The labial view 2 weeks postoperative PPCTF transplantation displaying satisfactory horizontal and vertical soft tissue augmentation. (i) The rehabilitation and reconstruction of the labial–palatal dimension of the soft tissue contour. Despite a tiny dehiscence at the crest of the implant, overall peri-implant soft tissue health had been restoredFigure 3Peri-implant soft tissue condition at the moment of implant crown placement and 8-year follow-up. (a, b) The labial and occlusal view directly after placement of the implant crown, with black triangles visible mesial and distal to the crown. (c, d) The labial and occlusal view at the 8-year follow-up demonstrating a favorable esthetic outcome. (e) A slight overcontouring of the labial soft tissue was present, with no bleeding on probing. (f) The sagittal CBCT image 8 years after implant placement demonstrating a successful osseointegration