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CC BY 4.0 · Eur J Dent 2023; 17(01): 255-260
DOI: 10.1055/s-0042-1749156
Case Report

Gaining Soft Tissue with a Hydrogel Soft Tissue Expander: A Case Report

Henri J.J. Uijlenbroek 
1   Department of Oral Cell Biology, Academic Centre for Dentistry Amsterdam, Amsterdam, The Netherlands
,
Yuelian Liu 
1   Department of Oral Cell Biology, Academic Centre for Dentistry Amsterdam, Amsterdam, The Netherlands
,
Daniel Wismeijer 
2   Private Practice, The Netherlands
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Abstract

In this case report, we describe the treatment of a patient referred to our clinic with a hopeless tooth 21 with an attached pontic. The aim of this case report was to, first, describe the advantages and disadvantages of gaining soft tissue with a self-inflating soft tissue expander before performing a bone augmentation procedure in implant dentistry in the esthetic zone. Second, we describe how an amalgam tattoo, caused by a previously performed apicoectomy that made the extension of the raised flap to cover the augmented site esthetically undesirable, was removed. Two silicone enveloped Osmed hydrogel self-inflating soft tissue expanders were placed submucosally on the right- and left-hand side of the amalgam tattoo. One of these two perforated the overlaying mucosa after 24 days. Both tissue expanders were removed, the amalgam tattoo was excided, the site augmented, and an implant with a crown and a pontic was placed.

Keywords

hydrogel - tissue expander - amalgam tattooing - bone augmentation - implant


Publication History

Article published online:
04 October 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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