Peri‑Implant Soft‑Tissue Integration and Management. Mario Roccuzzo

      Kurt Riewe

      DDS

      Private practice, Stone Oak Dental

      335 E Sonterra Blvd

      Suite 150

      San Antonio, TX 78258-4295

      United States of America

       [email protected]

      Shakeel Shahdad

      BDS, MMedSc, FDS RCSEd, FDS (Rest. Dent.) RCSEd, DDS, FDT FEd

      Consultant in Restorative Dentistry

      Barts Health NHS Trust

      The Royal London Dental Hospital

      and

      Honorary Clinical Professor in Oral Rehabilitation and Implantology

      Barts and The London School of Medicine and Dentistry

      Queen Mary University of London

      Turner Street

      London, E1 1DE

      United Kingdom

       [email protected]

      Daniel Thoma

      Professor, Dr med dent

      Vice-Chairman

      Head, Reconstructive Dentistry

      Clinic of Reconstructive Dentistry

      Center of Dental Medicine

      Vice Chairman, Center for Dental Medicine

      University of Zurich

      Plattenstrasse 11

      8032 Zurich

      Switzerland

       [email protected]

      Pietro Venezia

      DDS

      Adjunct Professor

      Department of Prosthodontics

      University of Catania (Italy)

      and

      Private practice

      Via G. Posca, 15

      70124 Bari (BA)

      Italy

       [email protected]

      Table of Contents

1 Introduction

       M. Roccuzzo

2 Importance of the Peri-Implant Soft Tissues

       A. Sculean

3 Soft-Tissue Management around Tissue-Level Implants

       M. Roccuzzo

3.1 Soft-Tissue Management at Implant Placement

3.2 Soft-Tissue Management Before Implant Placement

3.3 Soft-Tissue Management During Supportive Care

       4 Soft-Tissue Grafting After Implant Placement

       M. Roccuzzo, A. Sculean

       4.1 Increasing the Width of the Keratinized Mucosa

       M. Roccuzzo

       4.2 Soft-tissue Replacement Materials

       A. Sculean

       5 Peri-Implant Soft-Tissue Dehiscences

       5.1 Indications for Peri-Implant Soft-Tissue Dehiscence Coverage

       M. Roccuzzo

       5.2 Techniques for Treating Peri-Implant Soft-Tissue Dehiscences

       M. Roccuzzo

       5.2.1 Tunneling Technique for Treating Peri-Implant Soft-Tissue Dehiscences

       A. Sculean

       6 Clinical Case Presentations

       6.1 Implant Placement in the Esthetic Zone and Coverage of Multiple Gingival Recessions

       S. Aroca

       6.2 Periodontal Plastic Surgery and Prosthetic Procedures to Treat Peri-Implant Soft-Tissue Dehiscences

       P. Casentini

       6.3 GBR and Soft-Tissue Augmentation Following Explantation to Rehabilitate a Soft- and Hard-Tissue Defect

       R. Cavalcanti, P. Venezia

       6.4 Soft-Tissue Volume Augmentation Using a Connective-Tissue Graft Harvested from the Maxillary Tuberosity

       D. Etienne

       6.5 Connective-Tissue Graft to Increase the Width of the Keratinized Mucosa Around an Osseointegrated Implant

       V. Iorio-Siciliano

       6.6 Soft- and Hard-Tissue Regeneration and Implant-Supported Restorations to Treat a Complex Anterior Maxillary Case

       R. Jung, A. Gil, C. Hämmerle, D. Thoma

       6.7 Early Implant Placement, Contour Augmentation, and Autologous Connective-Tissue Graft Using a Tunneling Technique to Replace an Upper Incisor with Generalized Gingival Recession

       E. Lorenzana, J. Gillespie

       6.8 Connective-Tissue Graft to Augment the Buccal Tissue for a Bone-Level Implant at an Upper Incisor Site

       E. Lorenzana, K. Riewe

       6.9 Treatment of a Soft-Tissue Fenestration in the Esthetic Zone

       N. MacBeth, N. Donos

       6.10 Covering a Soft-Tissue Dehiscence at a Mandibular Incisor

       M. Roccuzzo

       6.11 Soft-Tissue Augmentation Using a Porcine-Derived Collagen Matrix to Correct a Labial Soft-Tissue Defect Following Extraction of a Maxillary Incisor

       S. Shahdad

       7 Conclusions

       M. Roccuzzo

       8 References

1 Introduction