THE JOURNAL OF THE TOKYO DENTAL COLLEGE SOCIETY

Vol. 109 No. 2      April 2009

ISSN: 0037-3710      UBIC: 342-J

ABSTRACT

We present an implant case with a marked defect of buccal alveolar ridge in the mandibular molar area that was functionally, esthetically and hygienically restored with connective tissue graft. An impression for temporary restoration was taken immediately after the implant placement. The connective tissue which was harvested from palatal mucosa was grafted onto the buccal alveolar ridge, and the temporary restoration with an appropriate emergence profile was placed at the second-stage surgery. Soft tissue around the implant site was supported by the temporary restoration and the defect was recovered. After the complete healing of the peri-implant tissue, final restoration which mimicked the subgingival morphology of the temporary restoration was placed. During a 3-year follow-up, the soft tissue was clinically healthy, and no remarkable radiographic change was observed. Careful consideration for the properties of soft tissue is thought to be important in achieving an optimal result in implant therapy. (The Shikwa Gakuho, 109 177- 184, 2009) Key words: Implant, Connective Tissue Graft, provisional restoration.

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