促进种植体牙间乳头形成的切口设计..ppt

1、preparing to place a dental implant in a proposed edentulous site, it is important to consider reproduction of the periodontal architecture in the aesthetic zone. 2、Reproduction of the interdental papillary architecture may be an important part of the appearance of the resulting implant treatment in the facial-attached gingival at the facial proximal line angle of the adjacent tooth and proceeds lingually, bisecting the adjacent gingival crest ending just beyond the proximal lingual line angle Both mesial and distal incisions are made The incision is redirected from the lingual toward the facial and continued so as to create an arch ending at the opposite proximal lingual line angle and connecting to the lingual of the facial-lingual incision. The crest of the arch should be 2 to 3 mm from the facial line aspect of the adjacent teeth(It is beneficial to have an adequate zone of facial-attached gingival remaining for periodontal support) Another facial-lingual incision is made that bisects the lingual gingival arch From this facial-lingual incision, 2 small cuts are made toward their respective proximals, creating small wings (taking care not to sever the wing or flap) Arrows showing flaps folded proximally. A paper model of the incisions Demonstrates how the wings are oriented before being positioned proximally Demonstrates the proximal suture method for the wings and how they may be supported by a provisional crown Suturing complete Provision crown in place. Six weeks postoperative. Fourteen weeks postoperative 3~5mm ①5-0 Vicryl sutures are needed to hold the flap and wings in position between the adjacent tooth and the provisional crown or healing element. ②From a practical point of view, the final positioning of the flap and wings may need to be done after the gingival healing element or provisional crown is in place The healing element or provisional crown supports the gingival flap and wings and promotes a base for the formation of interdental papillae a