Browsing by Subject "Connective tissues"

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    Apical approach to the treatment of peri-implantitis in the esthetic zone: nonincised papillae surgical approach (NIPSA). Case reports
    (Quintessence Publishing Co, 2022-05-25) Rodríguez Moreno, José Antonio; Ruiz Ortiz, Antonio José; Dermatología, Estomatología, Radiología y Medicina Física
    Objective: Advanced peri-impiantitis treatment is a ciinicai challenge. Reconstructive surgery is not suggested in defects with limited bony walls and/or in those with a suprabony defect. All studies of peri-implantitis reconstructive surgery have considered a marginal surgical approach. However, in the present case report, a new apical approach is presented for the reconstruction of an advanced peri-implantitis lesion. Materials and method: First, a non-surgical phase combines prosthetic, mechanical, and chemical strategies. Second, a surgical phase combines the apical nonincised papillae surgical approach (NIPSA) with biomaterials and a connective tissue graft. Conclusion: Successful results have been obtained when using a NIPSA for the treatment of peri-implantitis, despite the unfavorable characteristics of the peri-implant defect.
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    Connective tissue grafts with nonincised papillae surgical approach for periodontal reconstruction in noncontained defects
    (Quintessence Publishing Co Inc, 2019-10-28) Moreno Rodríguez, José Antonio; Ortiz Ruiz, Antonio José; Pardo Zamora, Guillermo; Pecci Lloret, Miguel; Caffesse, Raúl G.; Dermatología, Estomatología, Radiología y Medicina Física
    This case report presents the preliminary results of combining a modification of the nonincised papillae surgical approach (NIPSA), attempting to improve outcomes in the treatment of teeth with advanced periodontal support loss. The modification added a connective tissue graft (CTG) in the buccal aspect of these unfavorable cases caused by deep buccal bone dehiscence, soft tissue deficiencies, or tooth malposition (especially when positioned outside the bony contour). Deep, intrabony, noncontained defects affecting the maxillary incisors were treated in four patients. At the 1-year follow-up, all cases showed an improvement in the marginal soft tissue with considerable reductions in periodontal pocket depth and gains in clinical attachment. NIPSA plus CTG seem to improve clinical outcomes in deep, noncontained intrabony defects.