Journal of implantology and applied sciences ISSN:2765-7833(Print) 2765-7841(Online) 대한구강악안면임플란트학회지

This clinical report describes the use of a vascularized interpositional periosteal-connective tissue (VIP-CT) flap to rehabilitate the anterior maxilla. With this procedure, a soft tissue graft can be used to correct an aesthetic deficiency to establish stable new peri-implant soft tissue contours. The advantages of the VIP-CT graft technique are that it allows the reconstruction of large soft tissue deficiency, with little constriction postoperatively. Furthermore, it facilitates improved hard tissue augmentation due to the additional blood supply and improved bone healing by mesenchymal cells. Although the implantation site is poor, the blood supply of the VIP-CT flap allows predictable soft and hard tissue augmentation. Moreover, this technique reduces patient discomfort and treatment time. We present two cases that showed good results.