Soft-tissue grafting with Emdogain® and coronal advance flap to stop crestal bone loss around functional dental implants.
Vertical and horizontal thick soft tissue maintain crestal bone level with minimal remodeling (Linkevicius, Clin Oral Impl Res, 2015). A 72 years old woman with four dental implants restored with a bar and a over-denture in the lower maxilla arrived to the office with discomfort and sensitivity in two of them.
Horizontal soft-tissue thickness in both implants was less than 3 mm, vertical soft-tissue thickness was less than 3 mm. Crestal bone loss was found in one of the implants and zero bone loss in the other.
I decided to increase the thickness of the soft-tissue of both implants with a connective tissue graft, Emdogain® and a coronal advanced flap.
After 10 weeks of healing period, discomfort and sensitivity have disappeared.
Please, leave your comments and tell me what do you think.