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. 2023 Nov-Dec;13(6):727-730.
doi: 10.1016/j.jobcr.2023.09.005. Epub 2023 Sep 29.

Insertion of orthodontic temporary anchorage devices with free gingival grafting for phenotype modification of the peri-implant mucosa

Oscar Maldonado Molina  1   2
Affiliations

Insertion of orthodontic temporary anchorage devices with free gingival grafting for phenotype modification of the peri-implant mucosa

Oscar Maldonado Molina. J Oral Biol Craniofac Res. 2023 Nov-Dec.

Erratum in

Abstract

Background: Mini Implants are widely used in contemporary orthodontics, they provide skeletal anchorage even in non-compliant patients, facilitate orthodontic tooth movement, are easy to place and are relatively inexpensive. Their failure is multifactorial, and the quality of the soft tissue can present a risk limitation for the insertion of TADS. Orthodontic Mini Implants inserted in keratinized gingiva present fewer tissue-related complications and higher survival rate, than those inserted in non-keratinized mucosa. The purpose of this report is to present and describe this novel technique to modify and enhance the peri-implant mucosa of Orthodontic Mini Implants inserted in nonkeratinized gingiva.

Methods: A free gingival graft was harvested from the palate in combination with a buccal recipient site preparation in the alveolar mucosa and a TAD insertion procedure.

Results: After twenty-one days of healing, graft integration was observed. One hundred and eighty days after insertion and twelve weeks of loading, none to mild signs of clinical inflammation were documented, and the patient reported no pain or discomfort.

Conclusion: Within the limitations of this report, free gingival grafting for phenotype modification of the peri-implant mucosa, can benefit patients who need insertion of orthodontic mini-implants in non-keratinized mucosa for orthodontic tooth movement.

Keywords: Orthodontic biology; Orthodontic mini implants; Orthodontics; Phenotype modification; TAD grafting; TADS.

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Figures

Image 1
Graphical abstract
Fig. 1
Fig. 1
Possible tad grafting sites in non-keratinized mucosa.
Fig. 2
Fig. 2
Palatal donor site.
Fig. 3
Fig. 3
Orthodontic mini implant with gingival graft.
Fig. 4
Fig. 4
Anterior maxilla, buccal recipient site.
Fig. 5
Fig. 5
Twenty-one days after insertion, healing and graft integration is observed.
Fig. 6
Fig. 6
One hundred and eighty days after insertion, peri-implant mucosa remained healthy and prevent tissue overgrowth from the alveolar mucosa.
Fig. 7
Fig. 7
Free gingival graft in the alveolar mucosa of the anterior maxilla, after tad removal.
See this image and copyright information in PMC

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