Simultaneous Execution of Intraosseous Implantation and Mucogingival Surgery

Abstract

Endosseous implant is relatively good in prognosis and adovocated by many implantologists. However,the head of implant, of which neck pierces through the mucosa, is exposed in the month. Therefore,the tissue control of around the neck of implant is one of vaital factors for the longerity of implant.
The patient has not necessarily enough attached gingiva to circumference the neck of implant, so surgical expansion of attached gingiva has been applied in implantology. But, gingival expansion surgery and endosseous implantation have been usually executed separately in different days, then the patients suffered twice.
The author developed a procedure whereby endosseous implantation and apically repositioned flap operation were conducted at the same time. The technique and clinical cases of the one-day procedure were reported in this paper.
Although there have been a small number of clinical applications so far, the author is confidenced in this procedure which should be an exellent mode of surgery free of complication such as necrosis of mucosa, periostium and bone itself.