Akademik Veri Yönetim Sistemi
TURKISH ASSOCIATION OF ORAL AND MAXILLOFACIAL SURGERY 30th INTERNATIONAL SCIENTIFIC CONGRESS, Antalya, Türkiye, 17 - 21 Kasım 2023, ss.214-215, (Özet Bildiri)
Introduction: The width and thickness of the adherent keratinized mucosa around dental implants are two
important factors for long-term implant stability, function and aesthetics. If there is insufficient immobile
keratinized mucosa; Movements of the lips, cheek and tongue exert a pulling force on the alveolar mucosa.
This movement may cause biological complications in the tissues around the implant.
Case-1:A 58-year-old male patient was sent to our clinic to increase the depth of the vestibule sulcus before
overdenture prostheses were made. We planned free gingival graft (SDG) along with vestibuloplasty to
increase the sulcus depth for our patient. The autogenous graft obtained from the palatal region was fixed
with vicryl suture to the surgical area that was left for secondary healing after vestibuloplasty. The patient
was called for follow-up checks on the 3rd, 7th and 21st days. In our case with insufficient amounts of
keratinized mucosa (0-1 mm), an average increase of 3-6 mm was detected.
Case-2:A 63-year-old male patient was referred to us for preprosthetic surgery. Vestibuloplasty with SDG was
planned. A graft of scar tissue size that would be left for secondary healing was taken from the palatal region
and fixed with a resorbable suture in a motionless manner. An average increase of 4-5 mm in the keratinized
mucosa was detected in the patient's 3rd, 7th and 21st day controls.
Conclusion: It appears that the SDG operation may be a successful treatment procedure to obtain or increase
keratinized gingival width around implants with keratinized gingival deficiency.