Surgical Consideration to Improve the Peri-implant Environment ―Resection of the Middle Layer of the Alveolar Mucosa―

Abstract

Several surgical procedures, which have been employed when installing the implant body in recent years, are free gingival graft, vestibular extension or frenectomy to acquire adequate keratinized attached gingiva, autogenous or artifical bone graft to expand the width or supplement the bony defect in the surgical area, or GTR procedure to improve the peri-implant environment more aggressively.
In order to prevent the onset of peri-implantitis, the thickness of the alveolar mucosa around the implant body neck was observed and the middle layer connective tissue of the submucosa, in cases with thick alveolar mucosa, was removed to reduce the size of the pouch around the implant body neck,and good prognosis was obtained.