경조직 및 연조직 증강술을 동반한 임프란트 식립술

Abstract

Establishment of hard tissue and soft tissue with proper quantity and quality around the implants is essential for long-term stability of the implants. Most frequent complications accompanied with tooth extraction are vertical or horizontal bone loss and recession of the soft tissue, and it is needed to augment the deficient hard and soft tissue. Various surgical procedures, such as onlay bone graft, guided bone regeneration, block type bone substitutes grafting, distraction osteogenesis, and tissue engineering technique can be considered in treating the vertical and horizontal bony defects, and free gingival graft, subepithelial connective tissue graft, and apically positioned flap can be considered to overcome the reduced soft tissue. This report presents the case with implant placements performed in mandibular posterior region with the guided bone regeneration technique using autogenous bone to fill the defect and compensate future ridge alterations, and free autogenous gingival graft to augment the reduced attached gingiva. The implants were successfully installed and showed clinically successful results. Guided bone regeneration technique is the procedure applied with a barrier membrane to induce the specific cells and stabilize the blood clot for regeneration of the bone. The peri-implant attached gingiva is required to maintain the stability of peri-implant tissue