Wrinkle Appearance on the Labial Gingival at Implant Site: Recommendations?

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Dr. J. from Brisbane, Australia asks:
I placed a dental implant into a healed extraction site to replace a maxillary central incisior. The soft tissue on the labial of this site has a small indentation or wrinkle similar to the rugae on the palate. I fully expect the implant to integrate without problems. But I am concerned about the appearance of the labial gingival at the site. What would you recommend to remove this wrinkle? The tissue involved is keratinized gingival. Would laser surgery be a good choice for treatment? Soft tissue graft? Thanks.

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7 Responses to “ Wrinkle Appearance on the Labial Gingival at Implant Site: Recommendations? ”

  • satish joshi June 23rd, 2008

    If wrinkle has caused an overbuild up,do resection with laser,if it has caused deficiency,then use Ct graft with split thickness flap, followed by laser to do plasty. May be just an envelop flap would be sufficient.

  • Christo Lombard June 25th, 2008

    I’ve seen this usually happen about 2-3 weeks after soft-tissue healing where an implant was placed and the suture material was placed. Are you doing immediate loading or a 2-stage procedure? If the temporary crown is placed and you wait a couple of weeks, normally the gingiva contours itself to the crown-form. My advice: wait a while…

  • John Clark June 25th, 2008

    Chris,
    I’m using two stages, as theimplant was placed into a bioss grafted site which was well consolidatedd at placement but I don’t want to take any chances with it.
    John

  • Don Callan June 25th, 2008

    It should correct itself, give it a little time. If not you can plasty the area after integration.

  • Dr. R. Wright June 27th, 2008

    I agree with the last comment. This may correct itself if it doesn’t , you can always do a plasty later.

  • RSB July 1st, 2008

    Could be a fibrotic band. Gentle massage can be helpful initially. If that doesnt help, think of doing a plasty.

  • Dr SDJ July 4th, 2008

    Wow! This ones got a wide array of treatment options from Laser surgery to scalpel surgery to massage! :)

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