{"id":6034,"date":"2022-12-16T16:10:23","date_gmt":"2022-12-16T15:10:23","guid":{"rendered":"https:\/\/blog.avinent.com\/?p=3031"},"modified":"2024-11-11T13:00:26","modified_gmt":"2024-11-11T12:00:26","slug":"increase-keratinized-gum","status":"publish","type":"post","link":"https:\/\/avinent.com\/en\/blog\/increase-keratinized-gum\/","title":{"rendered":"Increase in keratinized gum in posterior sectors of the mandible for long-term stability in implant treatments"},"content":{"rendered":"\n\t\t\t\t\n

Introduction<\/strong><\/p>\n\n\n\n

Increase in keratinized gum in posterior sectors: Although there is still controversy surrounding the role of keratinized mucous membranes around implants, there are more and more studies that observe a correlation between the absence of an adequate band of keratinized gum and different pathologies in the tissues around implants in the medium to long term (greater inflammation, bleeding upon probing, recession and even greater crestal bone loss).<\/p>\n\n\n\n

There are studies that justify prior periimplant mucogingival treatment, simultaneous or subsequent to placing the dental implants when a lack of this tissue is detected, with the aim of optimizing the width and thickness of the keratinized mucous membranes and avoiding exposing the implant to adverse conditions. But to do so, like teeth, there are no uniform criteria, although free gingival grafts associated with an apical repositioning flap are considered the gold standard when the purpose of the surgery is to increase the keratinized tissue. Increase in keratinized.<\/p>\n\n\n\n

The detailed study of the case and the clinical experience are going to be deciding factors in the treatment plan of the case, making it predictable in the long term, as shown in the case below.<\/p>\n\n\n\n

Case presentation<\/strong><\/p>\n\n\n\n

A female patient, aged 62 years, with no medical history of interest, only controlled hypertension, attended the clinic intending to replace her lower removable prosthesis with a fixed restoration.<\/p>\n\n\n\n

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Initial status of the case <\/figcaption><\/figure><\/div>\n\n\n\n

After an exhaustive examination, observing the\ndistribution of the teeth and bite presented, the patient was offered an\northodontic treatment first to align the teeth and distribute the spaces\nproperly, to then be able to place four dental implants in the posterior\nedentulate areas.<\/p>\n\n\n\n

During the orthodontics stage and the planning\nof the dental implants, there was found to be insufficient keratinized gum in\nthe vestibular area of the two lower quadrants, which could affect the\nstability of the long-term treatment.<\/p>\n\n\n\n