Free Gingival Graft around Implants in the Posterior Mandible - Dental Online College
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Free Gingival Graft around Implants in the Posterior Mandible

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Duration:

04:32

Surgeon:

Prof. Dr. Hürzeler

In order to increase the amount of keratinized gingiva around two implants, Prof. Hürzeler (Munich) performs the placement of a free gingival graft in the third quadrant.

During the surgery, also the second implant in the molar region is exposed. To begin with, the graft bed in the implant area needs to be created. For this reason, a mucosal flap is prepared and underlying connective tissue thoroughly removed. 

Once the excision of mobile tissue remnants is completed, the flap is fixed apically to the periosteum with microsurgical sutures. As a result, the recipient area is fully exposed and ready for the graft placement. In a next step, the second implant is exposed, its cover screw removed and a healing abutment placed. Adjacent connective tissue is fixed closely around the implant neck with microsurgical sutures.

Now, the free gingival graft is harvested from the palate. It should have an even thickness of 1 to 1.5 mm. Before the free gingival graft is transferred and adapted to the prepared tissue bed, fat and connective tissue have to be removed. The palatal wound is covered with histoacryl glue and a splint in order to facilitate the healing process. The obtained graft is fixed with Gore-Tex sutures and moderately pressed onto its recipient bed. Moderate pressure and the stabilization of the free gingival graft in its bed are important for the growth of blood vessels into the transplanted tissue, hence its survival and the success of this surgical procedure

 

Content of the expert video

The implant with a lack of attached gingiva which is a potential thread for the long term stability.
The implant with a lack of attached gingiva which is a potential thread for the long term stability.
The placed free gingival graft
The placed free gingival graft

The expert

Prof. Dr. Markus Hürzeler

Private practice Hürzeler/Zuhr in Munich

  • Practising dentist in the joint practice Hürzeler/Zuhr in Munich
  • 2003 Conferment of degree; adjunct professor by the Albert-Ludwigs University in Freiburg
  • Specialist for periodontology (medical specialist equivalent) according to the Swiss (SSP) and German Association of Periodontology (DGP)
  • Specialist for prosthetics (medical specialist equivalent) according to the German Association for Dental Prosthetics and Materials Science (DGZPW)
  • Professorship at the Albert-Ludwigs University in Freiburg and at the University of Texas in Houston / Texas / USA
  • more »
  • Align Technology Inc.
  • BEGO Implant Systems GmbH & Co. KG
  • DSI DentaScience Institute®
  • Kuraray
  • CAMLOG
  • Health AG
  • IDI-PARO
  • W&H Deutschland GmbH
  • Dentsply Sirona Implants
  • Henry Schein
  • IPI München
  • CLINICAL HOUSE EUROPE
  • Zimmer Dental
  • Sirona
  • botiss dental Gmbh
  • Komet/Gebr. Brasseler GmbH &Co KG
  • DZR
  • Mectron

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The Dental Online College is an online learning platform for dental surgeons and students. This service focuses on providing superior-quality professional training videos in the area of dental medicine that can be called up from an Internet platform. As a professional online training platform, the Dental Online College provides dental surgeons and students with instruction in surgical procedure, demonstrating challenging surgical techniques using easy to understand videos, and including interviews that provide further detail, video presentations, and documentation on performing the procedures in question.

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