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   Offical Journal of The Academy of Osseointegration

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Volume 32 , Issue 3
June 2012

Pages 347 (e116-e121)

Pouch Roll Technique for Implant Soft Tissue Augmentation: A Variation of the Modified Roll Technique

Sang-Hoon Park, DDS, MS/Hom-Lay Wang, DDS, MSD, PhD

PMID: 22408781
DOI: 10.11607/prd.00.1070

This paper presents three cases of peri-implant mucosal defects that were successfully treated with a newly proposed “pouch roll” implant soft tissue augmentation technique. This procedure uses a de-epithelialized connective tissue layer during the first or second stage of implant surgery over the underlying dental implant without the need for sutures. At 2 weeks, healing was remarkable, with excellent plaque control. At 3 months, only minimal tissue shrinkage was evident. As a result, a 2- to 3-mm increase in the width of the keratinized tissue was noted around the augmented implant site. This technique is an atraumatic, versatile, and cost-effective surgical modality that enhances the peri-implant soft tissue over the ridge with a soft tissue thickness ≥ 3 mm. The pouch roll implant soft tissue augmentation procedure provides an easy and less traumatic correction of a mild to moderate buccal ridge deficiency by thickening the soft tissue around the dental implant. (Int J Periodontics Restorative Dent 2012;32:e116–e121.)

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