AutoresRamón Gómez Meda, Javier Calatrava, Jon Misch, Hom-Lay Wang
Se presenta una técnica quirúrgica novedosa para la modificación del fenotipo periimplantario tras procedimientos de aumento óseo. El abordaje combina un injerto onlay modificado con un colgajo posicionado apicalmente, realizado de forma simultánea a la colocación del implante. El objetivo es mejorar la cantidad y calidad del tejido blando, crucial para el éxito a largo plazo y la estética de los implantes, abordando deficiencias comunes como la migración de la unión mucogingival, la falta de mucosa queratinizada y la reducción de volumen de tejido blando. Los dos casos clínicos ilustran la capacidad de esta intervención única para restaurar el entorno del tejido blando, incrementando la profundidad vestibular, el ancho de la encía queratinizada y el volumen vertical del tejido, lo que resulta en un fenotipo periimplantario ideal y restauraciones estables y funcionales.
Bone augmentation procedures often lead to coronal displacement of the mucogingival junction, a deficiency of keratinized mucosa, and a reduction in soft tissue height. These challenges complicate the achievement of an ideal peri-implant phenotype. It is known that addressing both the quantity and quality of soft tissue is crucial for the long-term success and esthetics of implants. This report introduces a novel technique for peri-implant phenotype modification following bone augmentation, which combines a modified onlay graft (MOG) with an apically positioned flap (APF) performed simultaneously with implant placement. Two clinical cases are presented to demonstrate this approach, highlighting the restoration of the soft tissue environment through a single surgical intervention. The technique resulted in successful outcomes, including increased vestibular depth, keratinized tissue width, and vertical soft tissue volume. The MOG technique effectively manages soft tissue in post-bone augmentation scenarios, providing an ideal peri-implant phenotype and leading to stable, esthetic, and functional implant restorations. This method requires fewer surgical interventions than traditional alternatives, minimizing patient discomfort and enhancing overall treatment outcomes.
Meda RG, Calatrava J, Misch J, Wang H. Simultaneously Modified Onlay Soft Tissue Graft and Apically Positioned Flap for Implant Phenotype Modification: A Case Series. The International Journal of Periodontics & Restorative Dentistry. 2025. doi:10.11607/prd.7412
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