Roll Technique Modification: Papilla Preservation

Abstract

The aim of this article was to describe an Abrams technique's modification. Abrams' roll flap, performed at the implant second surgical stage, allows for the correction of small horizontal defects by enhancing the buccal soft tissue thickness and improves the buccal soft tissue profile. This modification preserves the papilla's morphology, reduces postsurgical discomfort, and enhances soft tissue healing and aesthetic results.

Soft tissue augmentation procedures at second-stage surgery: a systematic review

“…In four studies, the main indication for treatment was an inadequate width of KM in the region of dental implants before second-stage surgery (≤1 to ≤3.5 mm) [54,55,57,61]. In one study, Case series with fewer than five subjects included Sieira et al [85] Case series with fewer than five subjects included Fischer et al [86] Case series with fewer than five subjects included Malo et al [41] Mucogingival surgery and dental implant placement at the same time point Park and Wang [87] Case series with fewer than five subjects included Giordano et al [88] Case report Schneider et al [89] Soft tissue augmentation before second-stage surgery Lee et al [90] Follow-up <3 months Speroni et al [91] Surgical techniques applied are not clearly evaluable Cillo and Finn [92] Case report Kwasnicki and Butterworth [93] Case report Hakim et al [94] Follow-up partially <3 months…”

Multidisciplinary Dental Treatment in the Esthetic Zone: Rehabilitation of A Congenitally Missing Maxillary Lateral Incisor

“…A simple manipulation of the supra-implant mucosa was attained by means of roll technique which was done together with the exposure of the implant and placement of the healing cap (Fig. 15) [11]. Nylon 5-0 sutures were used in the second surgery which were removed after one week (Fig.…”

Rotational Flap to Enhance Buccal Gingival Thickness and Implant Emergence Profile in the Esthetic Zone: Two Cases Reports

“…The palatal roll technique is used to enhance the gingival margin thickness when the defect is smaller than 3 mm. This technique can be used in stage two surgery to enhance the labial gingival contour and the implant emergence profile [ 10 , 13 ]. The palatal roll technique has many advantages and disadvantages Table 1 .…”