Editorial Type:
Article Category: Letter
 | 
Online Publication Date: 14 Sept 2023

Lingual Gingival Augmentation of Mandibular Implants

DDS, MSc
Page Range: 379 – 381
DOI: 10.1563/aaid-joi-D-22-00016
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Dental implants may require attached tissue to prevent peri-mucositis or peri-implantitis. When there is a lack of attached tissue at the mandibular lingual aspect of dental implants, a free gingival graft may be done after careful consideration of nearby anatomical structures. An acryl stent can be used to protect the site from oral functioning.

Keywords: gingiva; mandible; attached tissue; submental; mylohyoid; lingual nerve
Figure 1.
Figure 1.

There was inadequate attached tissue at the lingual aspect of #18.

Figure 2.
Figure 2.

A free gingival graft taken from the palate and secured with polyglycolic acid suture.

Figure 3.
Figure 3.

An acryl stent was additionally applied to protect the site from oral functioning.

Figure 4.
Figure 4.

The graft healed uneventfully and has been functioning for 3 years.

Figure 5.
Figure 5.

This patient lacked lingual attached tissue and a traumatic lesion formed.

Figure 6.
Figure 6.

A lingual stent held the graft in place and protected it from oral functioning.

Figure 7.
Figure 7.

The graft healed well and has been successfully functioning for 5 years.

Contributor Notes

Corresponding author, e-mail: dffdds@comcast.net
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