Flipped autograft: A novel approach for management of wound dehiscence in implant dentistry. A case report. (September 2022)

• Record Type: Journal Article
• Authors: Hamdy, Ahmed; Ghalwash, Dalia M.
• Is Part Of: International journal of surgery case reports. Volume 98(2022)
• Publication Date: 2022-09
• Subjects: Dental implants -- Case report -- Dehiscence -- Flipped: autograft -- Novel; Surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgery; Electronic journals; Periodicals; 617.005
• DOI: 10.1016/j.ijscr.2022.107559
• Languages: English
• ISSNs: 2210-2612

Abstract

Abstract: Introduction and importance: This case report describes a novel technique for management of peri-implant wound dehiscence that involves using auto graft from the same surgical site to seal the dehiscence defect. Case presentation: A 21-year-old female was referred for extraction of a non-restorable lower left first molar and replacement by immediate dental implant. Following attachment of the cover screw bone graft biomaterial and collagen membrane was secured over the biomaterial and buccal flap was coronally positioned and sutured. Patient was seen 1 week after surgery for follow up where a minor wound dehiscence was discovered with some biomaterial particles exposed. Patient was advised to continue strict oral hygiene control and to wait for another week. After 2 weeks of the implant placement surgery patient came back for dehiscence management visit where an innovative flipped autograft technique was performed to seal the dehiscence defect. Clinical discussion: Healing by primary intention was achieved that led to uneventful healing and hence a successful well-functioning restoration with clinically healthy soft tissue and optimal aesthetic outcome. Conclusions: Peri-implant wound dehiscence can be successfully treated by the novel flipped autograft technique that yielded great aesthetic and functional results. Highlights: This report is the first to demonstrate the management of wound dehiscence using flipped autograft technique Visibility and access, Primary closure with delicate manipulation and patient home care are the keys to successful management of this case. The primary limitations to success in this case are poor blood supply associated with thin thickness soft tissue flap and Failure to achieve primary closure