Official Journal of The Academy of Osseointegration
Gain of Keratinized Mucosa Around Implants in the Posterior Mandible by a Modified Apically Positioned Flap and Xenogeneic Collagen Matrix
Xi Jiang, DMD/Ye Lin, DMD
PMID: 31449584
DOI: 10.11607/prd.4176
This case series demonstrated the regeneration of peri-implant keratinized mucosa (KM) in the posterior mandibles by a modified apically positioned flap and xenogeneic collagen matrix (CM). This modified surgical approach includes a midcrestal incision in the residual KM, partial-thickness flap reflection and apical positioning, removal of submucosal tissue, and CM adaptation. Six patients with 18 implants were recruited. The mean regenerated KM width was 4.81 ± 0.69 mm after 3 months of healing. Histologic analysis of the regenerated KM revealed similar architecture to the native KM.
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