Reconstructive Peri‐Implantitis Surgery Using an Internally Beveled Vestibular Incision for Multilayer Wound Closure.
Objective: As the outcome of reconstructive peri‐implantitis surgery is highly dependent on complication‐free healing with focus on primary intention healing, clinicians should take into account that the wound healing capacity at peri‐implant sites is compromised due to fundamental structural biolog...
| Published in: | Journal of Esthetic & Restorative Dentistry Vol. 38; no. 3; pp. 565 - 575 |
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| Main Authors: | , , , |
| Format: | diagnostic images pictorial Journal Article |
| Published: |
Wiley-Blackwell
Mar2026
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=192872470&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 192872470 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14964155 9OJ jtl: Journal of Esthetic & Restorative Dentistry issn: 14964155 maglogo: Y pubinfo: dt: Mar2026 vid: 38 iid: 3 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 192872470 191680522 192872470 192872470 10.1111/jerd.70124 192872470 ppf: 565 ppct: 10 formats: tig: atl: Reconstructive Peri‐Implantitis Surgery Using an Internally Beveled Vestibular Incision for Multilayer Wound Closure. aug: au: Gülnergiz, Erdem Abraha, Sophia M. Hürzeler, Markus Zuhr, Otto affil: Private Practice Hürzeler/Zuhr, Munich, Germany sug: subj: Surgery, Reconstructive Peri-Implantitis Surgery Wound Healing Surgical Flaps Utilization Wound Care Dental Implants Aesthetics, Dental Suture Removal Autografts Soft Tissue Injuries Prevention and Control Radiography, Dental Equipment Contamination ab: Objective: As the outcome of reconstructive peri‐implantitis surgery is highly dependent on complication‐free healing with focus on primary intention healing, clinicians should take into account that the wound healing capacity at peri‐implant sites is compromised due to fundamental structural biological differences when compared to periodontal tissues. In this context, tunneling flap techniques that avoid superficial incisions in the interproximal soft tissues, specifically between adjacent implants, where the papillary region constitutes a critical weak point, can be a key strategy. When employed together with vestibular access flaps, precise multilayer closure techniques may be applied to stabilize the wound within the highly movable alveolar mucosa and in this way improve predictable primary wound healing. Clinical Considerations: An internally beveled vestibular incision in the alveolar mucosa is introduced and described in this article. After flap preparation and implant surface decontamination, defects were reconstructed using autogenous tuberosity bone. Executing the initial bevel from coronal to apical (internal) created an additional tissue wedge that was incorporated into the coronal flap margin, increasing its surface area and facilitating closure in four distinct layers. Conclusion: The modified approach resulted in primary wound healing in these cases and was associated with substantial reconstructive outcomes at 1 year. Clinical Significance: Preserving peri‐implant papillary integrity by an internally beveled vestibular incision together with multilayer suturing may be beneficial to attain predictable healing by primary intention after reconstructive peri‐implantitis surgery, which is also relevant in esthetic areas. pubtype: Academic Journal doctype: diagnostic images pictorial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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