- Dr Mohini Daultani
Introduction
The treatment of localised edentulous area with ridge defects poses a challenging task for the dentist for prosthetic rehabilitation. (Fig 1a & Fig 1b)
Etiology of Loss of Alveolar Bone - Tissue defects can be caused because of many reasons, like:
Siebert’s Classification - Soft tissue defects can be classified as:
Many different techniques are available for predictable bone augmentation. A variety of factors such as quality and quantity of existing contiguous hard and soft tissues, systemic conditions and economic status of the patient play a important role in treatment planning, clinical outcome and prognosis. (Fig 2a & Fig 2b)
Tissue augmentation- Surgical techniques to enhance alveolar bone volume include:
This case report presents the surgical management of Seibert’s class I defect (bucco-lingual) using connective tissue graft by the envelope flap technique.
Case History
Patient reported to the clinic with a chief complaint of missing teeth. On intraoral examination, 22 and 23 were found to be missing with a soft tissue defect bucco-lingually. Radiological examination was done by means of an IOPA with 22,23.
The diagnosis was - Seibert’s Class I defect with 22,23. The soft tissue grafting technique was planned using connective tissue graft obtained from palate. The flap technique planned was envelope- flap technique under local anesthesia.
SURGICAL STEPS
Fig 3: Preoperative view with 22,23 with Seibert Class I defect.
Fig 4: Incision placed at crestal area
Fig 5: Flap reflection -split thickness flap
Fig 6: Template placed at donor site
Fig 7: Incision placed at donor site
Fig 8: Connective tissue graft obtained
Fig 9: Sutures placed at the donor site
Fig 10: Connective tissue graft placed at recipient site
Fig 11: Flap closed at recipient site
Free for members
Keep reading — it's free
The rest of this article is open to DentalReach members. Create a free account, or sign in, and every article on the site opens in full.
