Multilayered Connective Tissue Grafting Technique to Improve Aesthetics After Failed GBR: A Clinical Case Report of 16 Months Follow-Up

Overview

Journal Case Rep Dent

Publisher Wiley

Specialty Dentistry

Date 2020 Aug 11

PMID 32774937

Authors

Gabriele Villa

Gionata Bellucci

Simone Magnolo

Farah Asaad

Affiliations

Soon will be listed here.

Abstract

Objective: This case report describes soft-tissue management after a failed GBR procedure to enhance the soft-tissue quality, quantity, and aesthetic outcomes. . A 38-year-old patient visited the Dental Clinic of the Ospedale Maggiore Policlinico, University of Milan, Milan, Italy, for a chief complaint of unsatisfactory aesthetics of the anterior maxillary area. Dental history disclosed failed preimplant vertical bone augmentation with GBR procedure in the area of the left maxillary central incisor resulting in a severe gingival recession of adjacent teeth and compromised soft-tissue quantity and quality and severe ridge atrophy (class III). Multilayered connective tissue grafting technique, in a two-step mucogingival surgery, was used to cover the gingival recessions, reach even gingival margin, and reconstruct the defect. Frenectomy was done after the second mucogingival surgery to relieve the muscle attachment. A definitive cantilever bridge was placed to restore the left and right maxillary central incisors, and a satisfactory aesthetic outcome was reached.

Conclusions: Multilayered connective tissue grafting technique might be successful in correcting soft-tissue quantity and quality in class III ridge defects.

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