Manejo de un defecto estético en maxilar anterior con injertos de tejidos duros y blandos e inserción diferida de un implante dental. A propósito de un caso

  1. Ana Alba Gil
  2. Daniel Ortega Concepción 1
  3. Juan Francisco Peña Cardelles 1
  4. José Luis Domínguez Mompello 1
  5. Juan Lara-Chao 1
  6. Rafael Gómez de Diego 1
  1. 1 Universidad Rey Juan Carlos

    Universidad Rey Juan Carlos

    Madrid, España


Científica dental: Revista científica de formación continuada

ISSN: 1697-6398

Ano de publicación: 2021

Volume: 18

Número: 4

Páxinas: 15-20

Tipo: Artigo

Outras publicacións en: Científica dental: Revista científica de formación continuada


Introduction: There are bone alterations in the alveolar crests that present a volumetric defect that makes inserting a dental implant in the correct threedimensional position difficult. There are different surgical techniques for bone augmentation, including block grafts or the Split Bone Block Technique (SBBT). This technique combines cortical laminas and particulate bone of autologous origin, thus achieving a faster integration of the graft. The aim of this case is to describe the management and clinical approach of a defect with high aesthetic compromise and surgical-prosthetic complication by means of a rotated palatal flap, SBBT and subsequent provisionalization of an osseointegrated dental implant. Case study: A 54 year old man attended the University Clinic of the Rey Juan Carlos University with a dehiscence of the soft tissue that went beyond the mucoginvival line at the level of incisor 1.1 with mobility of the vestibular fragment. The patient did not report any symptoms or pathological signs. Tooth removal and soft tissue augmentation using the rotated palatal to posterior pedicle flap technique were established as a treatment plan. Horizontal bone regeneration was then performed using SBBT. Conclusion: Bone regeneration using SBBT is a predictable technique with high success rates both horizontally and vertically. Associated with regeneration, soft tissue management with flaps or connective tissue grafts makes it possible to achieve the desired volume.