Case Report
Copyright ©The Author(s) 2021.
World J Clin Cases. Dec 6, 2021; 9(34): 10738-10745
Published online Dec 6, 2021. doi: 10.12998/wjcc.v9.i34.10738
Figure 1
Figure 1 Three months after implant surgery. A: The cone-beam computer tomography showed that good osseointegration had formed between the implant and bone; B and C: Clinical examination and periodontal probe measurement showed that the width of the buccal keratinized gingiva of tooth #37 was 0.5 mm, 0.5 mm, 0 mm from mesial to distal, respectively.
Figure 2
Figure 2 Surgery Process. A: Deviated lingual linear incision; B: The buccal full-thickness flap was split to a semi-thick flap by a No. 15 blade; C and D: The semi-thick flap was positioned apically with 5-0 protein absorbable sutures.
Figure 3
Figure 3 Graft materials implantation. A: Platelet rich fibrin (PRF) was obtained by blood centrifugation from the patient; B: PRF was covered over the exposed wound; C: Mucograft® (Geistlich, Switzerland, 15 mm × 20 mm); D: Mucograft® was trimmed and added to cover the wound above the PRF by suture fixation.
Figure 4
Figure 4 Healing process. A: 3 d; B: 7 d; C: 10 d.
Figure 5
Figure 5 After 4 wk, stage II surgery was performed. A: The width of the buccal keratinized gingiva of tooth #37 is 4 mm; B: The thickness of mucosa is 4.5 mm.
Figure 6
Figure 6 The keratinized gingiva. A: The keratinized gingiva around the healing abutment was healthy, adequate and consistent with adjacent tissue; B: The mesial width of the buccal keratinized gingiva was 4 mm; C: The middle width of the buccal keratinized gingiva was 4 mm; D: The distal width of the buccal keratinized gingiva was 3 mm.