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Volume 28 , Issue 6
November/December 2008

Pages 617-623

Correction of a Mucogingival Defect Using an Implant-Retained Postoperative Stent in a Severely Resorbed Mandible: Case Report

Luiz Gustavo Nascimento de Melo, DDS, PhD/Frederico Ciporkin, DDS/ José Sérgio Maia Neto, DDS, MS/Ana Lúcia Pompéia Fraga de Almeida, DDS, PhD/ José Fernando Scarelli Lopes, DDS, MS/Caio Márcio Figueiredo, DDS, MS/Maria José Hitomi Nagata, DDS, PhD

PMID: 19146058
DOI: 10.11607/prd.00.0829

This case report describes a technique that uses a palatal mucosal graft and an acrylic resin postoperative stent in an attempt to increase the layer of keratinized tissue around osseointegrated implants in an atrophic mandible. During second-stage surgery, a split-thickness labial flap is reflected and apically repositioned by being sutured onto the periosteum and connective tissue. A palatal mucosal graft is then sutured onto the recipient site. The stent is worn for at least 4 weeks following surgery. This procedure helps to eliminate mobility of the mucosa in the area, deepen the vestibule, and prevent muscle reinsertion. (Int J Periodontics Restorative Dent 2008;28:617–623.)

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