EC Dental Science

Case Report Volume 23 Issue 1 - 2024

Roll Flap Technique to Enhance Buccal Gingival Thickness and Implant Emergence Profile: A Case File

Sourav Chowdhury1, Vijayshree Pandey2, Prashant Dwivedi3, Amrita Dutta4, Kasif Ahmad5, Verma Malti Sanjeev Kumar5, Dipanwita Dutta6, Garima Singh7*, Dipti Singh8 and Sudhanshu Agrawal9*

1PG Student (JR III), Department of Periodontology, Chandra Dental College and Hospital, Barabanki, India
2PG Student (JR I), Department of Periodontology, Chandra Dental College and Hospital, Barabanki, India
3PG Student (JR I), Department of Oral Pathology and Microbiology, Chandra Dental College and Hospital, Barabanki, India
4Assistant Professor, Department of Periodontology, Kusum Devi Sunderlal Dugar Jain College and Hospital, Kolkata, India
5PG Student (JR II), Department of Periodontology, Chandra Dental College and Hospital, Barabanki, India
6PG Student (JR I), Department of Endodontics, Chandra Dental College and Hospital, Barabanki, India
7Associate Professor, Department of Periodontology, Chandra Dental College and Hospital, Barabanki, India
8Professor and Head, Department of Oral Medicine and Radiology, Chandra Dental College and Hospital, Barabanki, India
9Professor, Department of Periodontology, Chandra Dental College and Hospital, Barabanki, India

*Corresponding Author: Sudhanshu Agrawal, Professor, Department of Periodontology, Chandra Dental College and Hospital, Barabanki, India and Garima Singh Associate Professor, Department of Periodontology, Chandra Dental College and Hospital, Barabanki, India.
Received: December 07, 2023; Published: January 10, 2024



Purpose: Several techniques have been developed to enhance the buccal gingival breadth, gingival height and contour surrounding the implant. In this case file, a buccal rotational flap was used to improve the buccal emergence profile of implant site and increase gingival tissue thickness.

Case Report: A 35-years old patient with a non restorable decayed root 46 was selected. After an atraumatic extraction of the retained root, an immediate implant was placed. This case involves the use of a rotational flap during second-stage implant surgery performed after 3 months of implant placement, with the use of a modified healing abutment to attain a thick gingival collar.

Result: The case was followed up until the final crown was placed. The implant site was improved in this case; the buccal gingival thickness was increased, the gingival level was enhanced and the emergence profile was developed.

Conclusion: Results of roll flap technique are affected by many factors. They include the anatomical, surgical, biological and prosthetic factors.

 Keywords: Rolling of Flap; Emergence Profile; Atraumatic Extraction; Immediate Implant

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Sudhanshu Agrawal., et al. “Roll Flap Technique to Enhance Buccal Gingival Thickness and Implant Emergence Profile: A Case File”.”. EC Dental Science 23.1 (2024): 01-07.

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