EVALUATION OF THE USE OF ULTRASONIC ACTIVATED POLY-D-L-LACTIC ACID PINS AND MESHES FOR HORIZONTAL SOFT TISSUE AUGMENTATION AROUND DENTAL IMPLANTS | ||||
| Alexandria Dental Journal | ||||
| Article 18, Volume 43, Issue 1, April 2018, Page 105-110 PDF (507.68 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/adjalexu.2018.57606 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Eman A.S. El-Mahalawy1; Ahmad M. Hommos2; Gehan S. Kotry3 | ||||
| 1Instructor at Oral Medicine, Periodontology, Oral Diagnosis and Radiology Department, Faculty of Dentistry, Alexandria University, Alexandria, Egypt | ||||
| 2Professor of Oral Medicine, Periodontology, Oral Diagnosis and Radiology Department, Faculty of Dentistry, Alexandria University, Alexandria, Egypt | ||||
| 3Assistant professor of Oral Medicine, Periodontology, Oral Diagnosis and Radiology Department, Faculty of Dentistry, Alexandria University, Alexandria, Egypt. | ||||
| Abstract | ||||
| INTRODUCTION: Horizontal ridge defects are a common consequence of tooth loss. They present an esthetic problem, especially if the edentulous site is in the maxillary esthetic zone and indicated for implant placement. A novel system using ultrasonic waves to activate pins and meshes made of completely resorbable poly-D-L-lactic acid has been recently introduced. It is commonly used in the augmentation of alveolar ridge defects, but has not been tried for guided soft tissue augmentation. OBJECTIVES: clinical evaluation of the efficacy of ultrasonic activated poly-D-L-lactic acid pins and meshes for guided soft tissue augmentation of horizontal defects present around dental implants. MATERIALS AND METHODS: study comprised of eight patients having localized horizontal soft tissue defects around dental implants. ‘Guided soft tissue augmentation’ technique was applied to manage these defects using ultrasonic activated poly-D-L-lactic acid pins and meshes. Patients recorded visual analogue scores for the first two weeks post-operatively. The augmented defects were evaluated for soft tissue thickness and pink esthetic score at one and three months post-operatively. RESULTS: there was a statistically significant increase in soft tissue thickness and fill in all treated defects together with an improvement of the pink esthetic score when compared to the baseline values. Patients had a mean visual analogue score of (0.0 ± 0.0) as of the fifth postoperative day. CONCLUSIONS: augmentation of horizontal soft tissue defects using ultrasonic activated poly-D-L-lactic acid pins and meshes is a less invasive and effective clinical procedure to increase soft tissue thickness around dental implants together with the reconstruction of gingival contours to match those of adjacent natural teeth. | ||||
| Keywords | ||||
| Dental implants; esthetics; horizontal ridge defects; SonicWeld®; soft tissue | ||||
| References | ||||
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