Volume : 4, Issue : 2, February - 2015

A ROLL FLAP TECHNIQUE TO ENHANCE RESTORATIVE AND SOFT TISSUE ESTHETICS FOR TOOTH REPLACEMENT IN ANTERIOR MAXILLA : A CASE REPORT

Amita Mali, Nikhil Goyal, Rohini Mali, Vishakha Kamble,

Abstract :

<p>Hard and soft tissue alveolar ridge deformities occur following the extraction of teeth, creating functional and esthetic tooth replacement challenges, especially in the maxillary anterior smile zone. A surgical technique using a rotated palatal flap for ridge preservation is discussed that, whether combined with conventional fixed dentures or implant treatment for tooth replacement, provides the possibility for greatly improved esthetics.In addition, preservation and augmentation at the extraction site provide soft tissue contours adjacent to the definitive restoration that vary little from those of the original natural tooth. Combined with conventional fixed dentures, use of this technique creates a template of the labial and interproximal sulcus of the extracted tooth, allowing for the molding of an ovate pontic replacement tooth.This results in vastly improved restorative emergence profiles with minimal or no change in the height of the labial gingival margin and the form and height of the interproximal papillae with adjacent teeth</p>