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Techniques to preserve keratinized peri-implant mucosa in CT-guided oral implant surgery

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Author(s): Bernhard Pommer

Journal: Surgical Techniques Development
ISSN 2038-9574

Volume: 2;
Issue: 1;
Start page: e7;
Date: 2012;
Original page

Keywords: minimally invasive surgery | surgical template | guided implant placement | attached mucosa | flapless surgery.

ABSTRACT
Guided implant dentistry using computed tomographic (CT) scans, virtual planning software and mucosa-supported surgical templates is an upcoming technology with the potential for more predictable and less invasive implant placement. While generally associated with a flapless approach, soft tissue punching and removal may not be indicated if available width of keratinized mucosa is limited prior to implant surgery. Two techniques to preserve keratinized peri-implant mucosa (Punch Reposition Technique and Topical Flap Technique) are presented and indications outlined. Appreciation of soft tissue conditions as well as functional and esthetic consequences of mucosal deficiencies (mucosal-driven approach) is recommended to supplement bone- and prosthetic-driven considerations in guided oral implant placement (Trinity Approach).
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