Akademik Veri Yönetim Sistemi
açbid, Antalya, Türkiye, 10 - 14 Mayıs 2023, ss.203-204
Objective: The width and thickness of the adherent keratinized mucosa around dental
implants are two important factors for long-term implant stability, function and aesthetics.
This is especially important in crests with shallow vestibule depth and insufficient amount of
keratinized mucosa and excessive resorption. If immobilized keratinized mucosa is insufficient;
Movements of the lips, cheek, and tongue exert a pulling force on the alveolar mucosa and
frenulum. This movement may cause biological complications in the tissues around the implant.
SDG is defined as a soft tissue graft obtained from the palate and containing keratinized
epithelium and some connective tissue and placed in the connective tissue bed
prepared in the recipient area. In this case, it was primarily applied to increase
developmentally missing or lost keratinized tissue and to increase vestibule depth.
Case: A 53-year-old male patient was sent to our clinic to increase the depth of the vestibule
sulcus before overdenture prostheses were applied. We planned SDG vestibuloplasty treatment
by taking autogenous graft from the palatal region.The autogenous graft obtained from the
palatal region was fixed with a prolene suture to the surgical site, which was left to heal
secondarily after vestibuloplasty.
Conclusion: It has been reported in studies that less bone loss can be seen in the presence
of thick mucosal tissue around the implant. In our case with insufficient amount of keratinized
mucosa, an average increase of 3-6 mm in width was detected. It seems that the SDG operation
can be a successful treatment procedure to obtain or increase the width of the keratinized
gingiva around implants with a lack of keratinized gingiva.