Author(s): Nascimento, Rodrigo Dias [UNESP] ; Gonçalves, Tamires Stella [UNESP] ; Cardoso, Paula Elaine [UNESP] ; de Moraes, Michelle Bianchi [UNESP] ; Raldi, Fernando Vagner [UNESP]
Date: 2020
Persistent ID: http://hdl.handle.net/11449/200374
Origin: Oasisbr
Subject(s): Dental esthetics; Dental implant; Fat pad; Periodontal atrophy; Dental esthetics; Dental esthetics; Dental implant; Dental implant; Fat pad; Fat pad; Periodontal atrophy; Periodontal atrophy
Made available in DSpace on 2020-12-12T02:04:58Z (GMT). No. of bitstreams: 0 Previous issue date: 2020-04-01
The present study describes a clinical case in which the buccal fat pad (BFP) was used to improve the contour of the peri-implant mucosa. To our knowledge, this is the first case report of such an application in the literature. A 58-year-old woman presented with teeth #2 and #3 missing and an indication for extraction of tooth #4. After clinical examination and CBCT analysis, immediate implants were placed in the region of the extracted tooth and that of tooth #2 for prosthetic rehabilitation using a three-unit fixed partial denture. There was an extensive mucosal defect in the region of tooth #3, with vertical and horizontal changes in the contour of the mucosa. As an alternative to the use of a subepithelial connective tissue graft, we opted for displacement of the BFP and its accommodation on the alveolar ridge of tooth #3 to improve the buccal tissue contour. After 5 years of follow-up, satisfactory gain and maintenance of mucosal volume were observed in the treated area, as well as improvement of buccal tissue contour. The use of BFP seems to be a feasible alternative for filling and treating peri-implant mucosal defects.
Diagnosis and Surgery Department São Paulo State University UNESP Institute of Science and Technology of São José dos Campos
Restorative Dentistry Department São Paulo State University UNESP Institute of Science and Technology of São José dos Campos
Diagnosis and Surgery Department São Paulo State University UNESP Institute of Science and Technology of São José dos Campos
Restorative Dentistry Department São Paulo State University UNESP Institute of Science and Technology of São José dos Campos
