A case report, published in the Journal of Oral Implantology,
offers an alternative to the traditional suturing method by
conducting a novel 'microscrew with tie-down sutures' technique in
order to give stability to the FGG on the recipient site.
LAWRENCE, Kan., May 22, 2024
/PRNewswire-PRWeb/ -- Journal of Oral Implantology – Dental
implants are a widely used, common substitute for missing teeth to
help maintain jaw alignment, oral health, and overall well-being;
however, complications can still arise as dental implantation is
considered major oral surgery. There are many steps dental
practitioners must take to ensure a successful implant procedure,
one of which is performing grafts to ensure the oral tissues,
especially the keratinized mucosa (KM), are healthy, stable, and
plentiful enough to sustain the implant. Without adequate KM width
(KMW), the implant site is vulnerable to infection and inflammation
that could prevent proper healing and ultimately cause implant
failure.
The success of this novel procedure offers
a new avenue for suturing after an FGG procedure that could lessen
surgery time and increase overall KMW
Researchers from Wuhan
University and private practice in Wuhan,
China; Edong Healthcare Group in Huangshi, China; and the University
of Toronto in Toronto, Ontario,
Canada, recently published a study in the Journal of Oral
Implantology to assess a novel technique for augmenting the KM and
to help improve the time-consuming suturing stage of the free
gingival graft (FGG) needed to support implantation. Given the
complications that can arise during suturing, including
postoperative pain and inflammation, and that suture-less
techniques remain controversial, Anbin
Xu, DDS, and colleagues state, "a novel 'microscrew with
tie-down sutures' technique was proposed to stabilize FGG on the
recipient site as an alternative to the traditional suturing
method." They hypothesized that "This technique can simplify the
FGG surgical procedure, shorten surgery time, and enhance KM around
the implant more effectively."
Xu et al. present a case study of a 65-year-old woman with three
missing teeth on the right side of her jaw. She had three implants
placed approximately three months earlier. After three months, the
healing cap on one tooth fell off and was loosening on another,
indicating that the implant procedure was not succeeding as
planned. The researchers also noted that the KMW was less than
optimal, and debris built up around the healing caps.
The patient underwent additional oral surgery to increase the
KMW by way of a FGG with an apically positioned flap. The FGG was
closed using the novel "microscrew with tie-down sutures" method,
and antibiotics were prescribed for two days. At 14 days
post-surgery, the FGG showed no signs of infection and was healing
well; all sutures were removed. At one month, healing was complete,
and the implants were determined to be ready to be restored. The KM
was stable and healthy one year after restoration, and the
implantation was successful.
The success of this novel procedure offers a new avenue for
suturing after an FGG procedure that could lessen surgery time and
increase overall KMW. Xu and colleagues conclude, "The 'microscrew
with tie-down sutures' technique presents a feasible, simplified,
and problem-solving resolution for enhancing KM around the implant
in the posterior area. Future studies on this technique should
include additional cases and longer tracking times."
Full text of the article, "A Novel "Microscrew With Tie-Down
Sutures" Technique for FGG Anchorage: A Case Report," Journal of
Oral Implantology, Vol. 50, No. 2, 2023, is available at
https://meridian.allenpress.com/joi/article/50/2/75/500533/A-Novel-Microscrew-With-Tie-Down-Sutures-Technique
About Journal of Oral Implantology
The Journal of Oral Implantology is the official publication of
the American Academy of Implant Dentistry and of the American
Academy of Implant Prosthodontics. It is dedicated to providing
valuable information to general dentists, oral surgeons,
prosthodontists, periodontists, scientists, clinicians, laboratory
owners and technicians, manufacturers, and educators. The JOI
distinguishes itself as the first and oldest journal in the world
devoted exclusively to implant dentistry. For more information
about the journal or society, please visit:
http://www.joionline.org/orimonline/?request=index-html
Media Contact
Samantha Weinkauf, KnowledgeWorks
Global Ltd., 1 785-289-2649, Samantha.Weinkauf@kwglobal.com
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SOURCE Journal of Oral Implantology