Baltic Dental and Maxillofacial Journal
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June, 2017, Vol. 19, No. 2



Orthodontic-surgical treatment: electromyographic and kinesiographic evaluation in follow up period. Experimental study
Lucia Giannini, Cinzia Maspero, Guido Galbiati, Laima Kairyte, Federica Zanoni,
Giampietro Farronato



The comparison of cement- and screw-retained crowns from technical and biological points of view
Aira Ragauskaitė, Gediminas Žekonis, Juozas Žilinskas, Alvydas Gleiznys, Eglė Ivanauskienė, Darius Gleiznys



Large oral ulcer of tongue related to dental trauma
Gian Paolo Bombeccari, Gianpaolo Guzzi, Francesco Pallotti, Massimo Porrini, Aldo Bruno Giannì, Francesco Spadari



The efficacy of short (6 mm) dental implants with a novel thread design
Soheil Bechara, Tatjana Nimčenko, Ričardas Kubilius



Bone augmentation and simultaneous soft tissue thickening with collagen tissue matrix derivate membrane in an aesthetic area. A case report
Algirdas Puišys, Saulius Žukauskas, Ričardas Kubilius, Eglė Vindašiūtė, Tomas Linkevičius


© 2017 Stomatologija

Stomatologija 2017; 19 (2): 64-8 390 KB

Bone augmentation and simultaneous soft tissue thickening with collagen tissue matrix derivate membrane in an aesthetic area. A case report

Algirdas Puišys1, Saulius Žukauskas2, Ričardas Kubilius3, Eglė Vindašiūtė1, Tomas Linkevičius1, 4


Aesthetic implant restoration in the anterior maxilla is a challenge for clinicians. Alveolar ridge and surrounding gingiva deficiencies aggravates implant placement in the aesthetic area.
This case report describes a technique for aesthetic single implant placement with simultaneous bone grafting and soft tissue thickening. At the time of implant surgery, allogenic (Maxgraft, Botiss Biomaterials, Germany) and xenogenic bone substitute (Cerabone, Botiss Biomaterials, Germany) was used for bone grafting, soft tissues were augmented simultaneously with collagen tissue matrix derivate membrane (Mucoderm, Botiss Biomaterials, Germany). After 4 months during second stage surgery the implant was exposed. Subsequently healing abutment was replaced with provisional crown for gingival contouring. An individual zirconia abutment was made and a cemented full-ceramic crown was placed for final restoration. The 12-month follow-up check-up revealed a pleasing aesthetic treatment outcome, as well as clinically healthy peri-implant soft tissues. Radiological examination showed a stable bone crest with minor bone remodelling around the implant platform. The use of an collagen tissue matrix derivate, simultaneously with GBR, in the aesthetic area can provide excellent results, by establishing and maintaining facial bone wall and thick soft tissue in aesthetic area.

Key words: bone grafting, soft tissue augmentation, endosseous dental implant, collagen tissue matrix derivate membrane, peri-implant aesthetics.

Received: 14 12 2016

Accepted for publishing: 28 06 2017

1Vilnius Implantology Center clinic (private practice), Vilnius, Lithuania
2Faculty of Odontology, Lithuanian University of Health Sciences, Kaunas, Lithuania
3Department Oral and Maxillofacial Surgery, Lithuanian University of Health Sciences, Kaunas Lithuania
4Faculty of Odontology, Vilnius University, Vilnius, Lithuania

Address correspondence to Algirdas Puišys, Vilnius Implantology Center, Polocko g. 21/Žvirgždyno g. 1, Vilnius, Lithuania..
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