Peri-Implant Mucosal Enhancement in the Esthetic Area: A Case Report Comparing Autogenous and Xenogeneic Grafting Approaches | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 42, Volume 100, Issue 1, July 2025, Page 2820-2823 PDF (189.76 K) | ||||
| DOI: 10.21608/ejhm.2025.440260 | ||||
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| Abstract | ||||
| Background: The aesthetic restoration of dental implants in the esthetic zone is a challenge for clinicians, necessitating precise harmony among hard and soft tissue and aesthetic prosthesis design. Numerous periodontal plastic surgery treatments exist to aesthetically rebuild deficits in hard and soft tissues, nevertheless each technique possesses its own limitations. A novel method known as modified Vascularized interpositional periosteal connective tissue (mVIP-CT) flap has been proposed as an alternative, enabling clinicians to achieve substantial soft tissue augmentation in aesthetic areas with a single treatment. Objective: We aimed to compare two soft tissue augmentation techniques during immediate implantation in the aesthetic zone utilizing (mVIP-CT) grafts compared to Xenogenic collagen membrane (XCM), which serves as an alternative to connective tissue grafts (CTG). Subjects and methods: Two patients have a non-restorable tooth in the upper anterior region, due to different causes, both needed dental implants and soft tissue augmentation was scheduled for both. One received an immediate implant and XCM, while the other underwent the same procedure but utilized mVIP-CTG. Results: All patients accomplished the 6-month follow-up without dropping out. KTW, PES and BCT showed no significant differences between groups, but mVIP-CTG significantly increased GT compared to XCM. Conclusion: Pedicled (mVIP-CTG) enhanced gingival thickness around implants more than XCM, though XCM had lower morbidity and shorter surgical time. | ||||
| Keywords | ||||
| Immediate implant; mVIP-CT flap; XCM; Soft tissue augmentation; Xenograft; Esthetic zone | ||||
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