Management of peri-implant mucositis of multiple osseointegrated implants using a modified free gingival graft “Punch technique” in the total edentulous area: A case report

Frank Mayta-Tovalino; José Rosas; Franco Mauricio; Silvia Luza; Daniel Alvitez-Temoche; Cesar Mauricio-Vilchez

doi:10.4103/jispcd.JISPCD_292_20

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CASE REPORT

Year : 2021 | Volume : 11 | Issue : 1 | Page : 109-113

Management of peri-implant mucositis of multiple osseointegrated implants using a modified free gingival graft “Punch technique” in the total edentulous area: A case report

Frank Mayta-Tovalino¹, José Rosas², Franco Mauricio³, Silvia Luza³, Daniel Alvitez-Temoche⁴, Cesar Mauricio-Vilchez⁵
¹ Postgraduate Department, Faculty of Health Sciences, Universidad Cientifica del Sur, Lima, Peru; Academic Department of Rehabilitative Stomatology, Faculty of Dentistry, Universidad Nacional Mayor de San Marcos, Lima, Peru
² Postgraduate Department, Faculty of Dentistry, Universidad Peruana Cayetano Heredia, Lima, Peru; Postgraduate Department, School of Dentistry, Universidad Privada San Juan Bautista, Lima, Peru
³ Postgraduate Department, Faculty of Dentistry, Universidad Nacional Federico Villarreal, Lima, Peru
⁴ Academic Department of Rehabilitative Stomatology, Faculty of Dentistry, Universidad Nacional Mayor de San Marcos, Lima, Peru
⁵ Postgraduate Department, Faculty of Dentistry, Universidad Peruana Cayetano Heredia, Lima, Peru

Correspondence Address:
Dr. Frank Mayta-Tovalino
Avenue Paseo de la República 5544, Miraflores 15074, Lima.
Peru

Source of Support: None, Conflict of Interest: None

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DOI: 10.4103/jispcd.JISPCD_292_20

The purpose of this case report was to describe a technique to modify the free gingival graft by perforations within the graft to guarantee a horizontal increase in the keratinized mucosa in the anteroinferior sector of a total edentulous mandible after osseointegration of previously placed dental implants in a hybrid prosthesis protocol. A 71-year-old male underwent free modified gingival graft surgery with perforations at the level of each implant. At 3 months, the mucosa appeared to be healthy and keratinized, especially at a horizontal level around the implants previously diagnosed with mucositis, providing the patient with satisfactory results. Finally, the hybrid prosthesis was cleaned and polished due to the presentation of a hard plate at the level of the abutments. Within the limitations of this case report, further research is needed to evaluate the long-term efficacy of this modification to the free gingival graft.

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