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Stomatologija 2017; 19 (2): 64-8 390 KB

Bone augmentation and simultaneous soft tissue thickening with collagen tissue matrix derivate membrane in an aesthetic area. A case report

Algirdas Puišys¹, Saulius Žukauskas², Ričardas Kubilius³, Eglė Vindašiūtė¹, Tomas Linkevičius^{1, 4}

Summary

Aesthetic implant restoration in the anterior maxilla is a challenge for clinicians. Alveolar ridge and surrounding gingiva deficiencies aggravates implant placement in the aesthetic area.
This case report describes a technique for aesthetic single implant placement with simultaneous bone grafting and soft tissue thickening. At the time of implant surgery, allogenic (Maxgraft, Botiss Biomaterials, Germany) and xenogenic bone substitute (Cerabone, Botiss Biomaterials, Germany) was used for bone grafting, soft tissues were augmented simultaneously with collagen tissue matrix derivate membrane (Mucoderm, Botiss Biomaterials, Germany). After 4 months during second stage surgery the implant was exposed. Subsequently healing abutment was replaced with provisional crown for gingival contouring. An individual zirconia abutment was made and a cemented full-ceramic crown was placed for final restoration. The 12-month follow-up check-up revealed a pleasing aesthetic treatment outcome, as well as clinically healthy peri-implant soft tissues. Radiological examination showed a stable bone crest with minor bone remodelling around the implant platform. The use of an collagen tissue matrix derivate, simultaneously with GBR, in the aesthetic area can provide excellent results, by establishing and maintaining facial bone wall and thick soft tissue in aesthetic area.

Key words: bone grafting, soft tissue augmentation, endosseous dental implant, collagen tissue matrix derivate membrane, peri-implant aesthetics.

Received: 14 12 2016

Accepted for publishing: 28 06 2017

¹Vilnius Implantology Center clinic (private practice), Vilnius, Lithuania
²Faculty of Odontology, Lithuanian University of Health Sciences, Kaunas, Lithuania
³Department Oral and Maxillofacial Surgery, Lithuanian University of Health Sciences, Kaunas Lithuania
⁴Faculty of Odontology, Vilnius University, Vilnius, Lithuania

Address correspondence to Algirdas Puišys, Vilnius Implantology Center, Polocko g. 21/Žvirgždyno g. 1, Vilnius, Lithuania..
E-mail address: algirdas@vicklinika.lt



	Baltic Dental and Maxillofacial Journal

June, 2017, Vol. 19, No. 2 CONTENTS SCIENTIFIC ARTICLES Orthodontic-surgical treatment: electromyographic and kinesiographic evaluation in follow up period. Experimental study Lucia Giannini, Cinzia Maspero, Guido Galbiati, Laima Kairyte, Federica Zanoni, Giampietro Farronato 35-43 REVIEW The comparison of cement- and screw-retained crowns from technical and biological points of view Aira Ragauskaitė, Gediminas Žekonis, Juozas Žilinskas, Alvydas Gleiznys, Eglė Ivanauskienė, Darius Gleiznys 44-50 CASE REPORT Large oral ulcer of tongue related to dental trauma Gian Paolo Bombeccari, Gianpaolo Guzzi, Francesco Pallotti, Massimo Porrini, Aldo Bruno Giannì, Francesco Spadari 51-54 SCIENTIFIC ARTICLES The efficacy of short (6 mm) dental implants with a novel thread design Soheil Bechara, Tatjana Nimčenko, Ričardas Kubilius 55-63 CASE REPORT Bone augmentation and simultaneous soft tissue thickening with collagen tissue matrix derivate membrane in an aesthetic area. A case report Algirdas Puišys, Saulius Žukauskas, Ričardas Kubilius, Eglė Vindašiūtė, Tomas Linkevičius 64-68 © 2017 Stomatologija		Stomatologija 2017; 19 (2): 64-8 390 KB Bone augmentation and simultaneous soft tissue thickening with collagen tissue matrix derivate membrane in an aesthetic area. A case report Algirdas Puišys¹, Saulius Žukauskas², Ričardas Kubilius³, Eglė Vindašiūtė¹, Tomas Linkevičius^{1, 4} Summary Aesthetic implant restoration in the anterior maxilla is a challenge for clinicians. Alveolar ridge and surrounding gingiva deficiencies aggravates implant placement in the aesthetic area. This case report describes a technique for aesthetic single implant placement with simultaneous bone grafting and soft tissue thickening. At the time of implant surgery, allogenic (Maxgraft, Botiss Biomaterials, Germany) and xenogenic bone substitute (Cerabone, Botiss Biomaterials, Germany) was used for bone grafting, soft tissues were augmented simultaneously with collagen tissue matrix derivate membrane (Mucoderm, Botiss Biomaterials, Germany). After 4 months during second stage surgery the implant was exposed. Subsequently healing abutment was replaced with provisional crown for gingival contouring. An individual zirconia abutment was made and a cemented full-ceramic crown was placed for final restoration. The 12-month follow-up check-up revealed a pleasing aesthetic treatment outcome, as well as clinically healthy peri-implant soft tissues. Radiological examination showed a stable bone crest with minor bone remodelling around the implant platform. The use of an collagen tissue matrix derivate, simultaneously with GBR, in the aesthetic area can provide excellent results, by establishing and maintaining facial bone wall and thick soft tissue in aesthetic area. Key words: bone grafting, soft tissue augmentation, endosseous dental implant, collagen tissue matrix derivate membrane, peri-implant aesthetics. Received: 14 12 2016 Accepted for publishing: 28 06 2017 ¹Vilnius Implantology Center clinic (private practice), Vilnius, Lithuania ²Faculty of Odontology, Lithuanian University of Health Sciences, Kaunas, Lithuania ³Department Oral and Maxillofacial Surgery, Lithuanian University of Health Sciences, Kaunas Lithuania ⁴Faculty of Odontology, Vilnius University, Vilnius, Lithuania Address correspondence to Algirdas Puišys, Vilnius Implantology Center, Polocko g. 21/Žvirgždyno g. 1, Vilnius, Lithuania.. E-mail address: algirdas@vicklinika.lt