The most important clinical factor in the evaluation of soft tissues is the total absence of inflammation together with the complete healing of damaged tissues after extractions or traumas of various origins.
The most common problem we face in our daily clinical practice is bone tissue defects accompanied by soft tissue defects.
Main bone regenerative techniques
There are many bone regenerative techniques used to achieve adequate bone volume such as maxillary sinus lift, split crest, barrier membrane guided bone regeneration (GBR), both in horizontal and vertical defects, etc.
Advantages of the GBR technique
The technique of guided bone regeneration with barrier membranes not only tends to minimize ridge resorption during the remodeling phase, but also allows the reconstruction of the ideal bone architecture for the subsequent placement of implants to replace the lost dental elements.
To guarantee the success of these bone augmentation regenerative techniques, it is required that the soft tissues are completely deflated and with the adequate volume to guarantee the closure of the wound without tension, thus ensuring that there will be no dehiscence and subsequent contamination of our regeneration.
GBR surgical techniques require experience on the part of the operator. It is very important to know the behavior of the hard and soft tissues after the loss of one or more dental elements. In addition, soft tissue management by mucogingival surgery is essential.
What is mucogingival surgery?
This consists of surgical periodontal procedures used to correct defects in the morphology, position and/or amount of gingiva, such as:
- Ensuring a tension-free closure after bone volume augmentation regeneration.
- To treat gingival defects (gingival recessions) that generate sensitivity, root caries and an unsightly appearance when the root of the tooth is visible. To correct these defects and cover denuded root surfaces there are several periodontal plastic surgery techniques: free gingival graft, subepithelial connective grafts and acellular dermal matrix grafts.
- Change grayish gingival discolorations in areas with underlying implants.
- Increase keratinized gingiva in posterior areas that guarantee improved hygiene for our patients.
All this is possible with mucogingival surgery techniques with a correct preoperative diagnosis of the characteristics of the affected area and the general conditions of each patient. In this way we can select the most appropriate technique for each case and ensure the success of the treatment and the comfort of the patients.
For more information about mucogingival surgery contact a specialist.