Relato de caso: enxerto gengival otimizando estética e função no manejo do tecido periodontal peri-implantar

Abstract

The subeptelial connective tissue graft has been used with high success rate to obtain esthetics, function and health of the oral mucosa. In implantology, esthetics is considered a major factor which, in addition to involving the anatomy of the tooth replaced, involves the healthy and harmonious appearance of the peri-implant tissue. This case report aims to demonstrate the success of the technique of subeptelial connective tissue graft previously implant implantation and in the treatment of alveolar bone defects. The patient M.L.S., 32 years old, female, non-smoker, healthy, starts a treatment at the Dental Hospital of UFU (Federal University of Uberlândia) to undergo oral rehabilitation. Her main complaint was aesthetic dissatisfaction due to a depression in the maxillary arch and absence of tooth in anterior region. Clinically, the presence of a defect in the alveolar bone region of the teeth 21 and 22 was observed. Subeptelial connective tissue graft surgery was performed in the region of the teeth 21 and 22 and installation of implants was performed in this region, aiming to regularize the defect and future installation of the implant-supported prosthesis. The success of the technique, with gain in thickness and satisfactory volume of the grafted region and success in the installation of the implants was observed.