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CASE REPORT
Year : 2021  |  Volume : 7  |  Issue : 2  |  Page : 87-90

Use of pterygium sutures and diode laser in second-stage implant exposure procedure for single implant-retained overdenture


Department of Periodontics and Oral Implantology, Faculty of Dental Science, DDU, Nadiad, Gujarat, India

Correspondence Address:
Anal Rutvik Trivedi
3, Lakshya La Villa, Opp. Lambhavel Hanumann Tample, Anand-Lambhavel Road, Anand - 388 001, Gujarat
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijohr.ijohr_25_21

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Nowadays, single implant-retained overdenture (SIROD) has gained popularity over two/multi-implant-supported overdenture. Prosthetic success of SIROD depends on second-stage surgical procedure for implant exposure with surrounding tissue manipulation. The anatomy and soft-tissue support around implants are different than that around teeth. Unlike the supportive periodontal ligament around teeth, a direct anchorage of connective tissue to the surface of the implant is not possible, and the mechanical quality of this attachment is low. This is especially important because the implant-supported restoration is located beneath the oral mucosa. These differences are important to understand the susceptibility of implant for infection in case of implant-supported overdenture with inadequate width of keratinized gingiva and shallow vestibule. In the present case report with the use of pterygium sutures and diode laser, successful implant exposure without hindrance of surrounding mucosal or muscle pull could be achieved.


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