Manipulação de tecido mole peri-implantar para resolução de ausência de tecido ceratinizado: descrição da técnica pré e pós-instalação de implantes dentários

AUTORES

Lorena Gonçalves Alexandrino
Mestranda em Implantodontia – Ilapeo. Orcid: 0000-0002-0557-8093.

Gustavo Eduardo Casagrande
Mestrando em Implantodonia – Ilapeo. Orcid: 0000-0002-1996-1237.

Stephanie Gomes Assunção Alves
Mestranda em Implantodontia – Ilapeo. Orcid: 0000-0002-5912-7124.

Élcio Marcantonio Jr.
Professor titular de Periodontia e Implantodontia – FOAr/Unesp. Orcid: 0000-0003-1294-2305.

RESUMO

O objetivo deste relato de caso foi avaliar se o momento cirúrgico para realizar o enxerto gengival livre (EGL) interfere no resultado da técnica para obtenção de gengiva inserida ao redor de implantes dentários. No primeiro caso clínico, antes da instalação dos implantes dentários, optou-se por realizar o EGL para aumentar a faixa de tecido ceratinizado na região. No segundo caso clínico, os implantes já estavam instalados e apresentavam uma faixa de gengiva inserida insuficiente, sendo assim necessária a cirurgia de EGL. Os dois casos de EGL foram realizados seguindo a mesma técnica cirúrgica. Após as cirurgias, uma ampla faixa de tecido queratinizado foi apresentada ao redor dos implantes, em ambos os casos. Contudo, cada situação clínica deve ser avaliada individualmente, sendo que a preferência e experiência do profissional devem ser levadas em consideração na escolha do momento cirúrgico para a execução da cirurgia, obtendo dessa forma o sucesso desejado no tratamento.

Palavras-chave – Implantes dentários; Tecido conjuntivo/ transplantação; Estética dental.

ABSTRACT

The objective of this case report was to evaluate whether the surgical time to perform the free gingival graft (FGG) interferes with the result of the technique for obtaining attached gingiva around dental implants. In the first clinical case, before the installation of dental implants, it was decided to perform FGG to increase the width of keratinized tissue in the region. In the second clinical case, the implants were already installed, and had an insufficiently attached gingival band, thus requiring FGG surgery. The two cases of FGG were performed following the same surgical technique. After the surgeries, a wide band of keratinized tissue was presented around the implants, in both cases. However, each clinical situation must be evaluated individually, and the preference and experience of the professional must be taken into account when choosing the surgical moment to perform the surgery, thus obtaining the desired success in the treatment.

Key words – Dental implants; Connective tissue/transplantation; Dental aesthetics.

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