{"id":416,"date":"2023-05-31T05:57:54","date_gmt":"2023-05-31T05:57:54","guid":{"rendered":"https:\/\/www.dental-implants-asia.com\/?page_id=416"},"modified":"2025-01-14T16:16:58","modified_gmt":"2025-01-14T16:16:58","slug":"augmentation-des-tissus-mous","status":"publish","type":"page","link":"https:\/\/dental-implants-asia.com\/fr\/soft-tissue-augmentation\/","title":{"rendered":"Augmentation des tissus mous"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"416\" class=\"elementor elementor-416\" data-elementor-settings=\"{&quot;ha_cmc_init_switcher&quot;:&quot;no&quot;}\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-ece2205 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"ece2205\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-c5e1d0f\" data-id=\"c5e1d0f\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-53c00de elementor-widget elementor-widget-heading\" data-id=\"53c00de\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Augmentation des tissus mous<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a0bbd3a elementor-widget elementor-widget-text-editor\" data-id=\"a0bbd3a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"col-md-12\">\n\nApr\u00e8s une extraction dentaire, de nombreuses modifications de l&#039;alv\u00e9ole peuvent \u00eatre observ\u00e9es au cours des douze mois suivant l&#039;intervention. Il est important de noter que la largeur de la cr\u00eate expos\u00e9e pourrait \u00eatre r\u00e9duite de 50 % ou plus, soit de 5 \u00e0 7 mm. Apr\u00e8s trois mois de traitement chirurgical, le th\u00e9rapeute pourrait constater que les deux tiers de cette r\u00e9sorption se sont produits. Tous ces changements, tant verticaux qu&#039;horizontaux, sont observ\u00e9s dans les tissus durs et mous. En cas de perte osseuse suppl\u00e9mentaire horizontale et de r\u00e9sorption accrue de l&#039;\u00e9paisseur corticale vestibulaire, le m\u00e9decin doit intervenir.\n<p align=\"center\"><img decoding=\"async\" class=\"img-responsive\" src=\"http:\/\/www.dental-implants-asia.com\/wp-content\/uploads\/2023\/05\/soft-tissue-augmentation-1.webp\" alt=\"augmentation des tissus mous\" \/><\/p>\nAccording to the outcome of many studies, the process of immediate placement of the implants helps in reducing the alveolar resorption as well as the number of needed surgery procedures and the time necessary to complete the final restoration. However, the medical professional should take into consideration many factors in order to achieve treatment success. This means good implant location, correct gingival marginal position, the thickness and width of the keratinized mucosa, the gingival biotype, the vestibular cortical thickness, and also the size of the gap which is positioned horizontally.\n\nMany surgeons practice the immediate placement of the implants in order to preserve the tissue optimally, to keep the architecture of the bone and finally, immediate provisionalization to support soft tissue. Contrary to this, a manifestation of the gingival recession was reported after the first yeas. Just to solve this problem and at the same time to increase the thickness of the gingival tissues, medical practitioners decided to accept the suggestion of using connective tissue grafts which would be a perfect method for the preservation of the soft tissue levels.\n\nFor all practitioners who want to achieve a positive outcome in their work, they have to consider the following tips:\n<ul class=\"points\">\n \t<li>Pr\u00e9paration du lit receveur\u00a0: il n&#039;est donc pas toujours n\u00e9cessaire de cr\u00e9er un lambeau mucop\u00e9riost\u00e9. En cas d&#039;utilisation de greffes de tissu conjonctif, celles-ci sont maintenues des deux c\u00f4t\u00e9s par une simple greffe muqueuse.<\/li>\n \t<li>S\u00e9lection appropri\u00e9e du site donneur pour la greffe s\u00e9lectionn\u00e9e : Les parties suivantes peuvent \u00eatre utilis\u00e9es : Parties de la cr\u00eate alv\u00e9olaire \u00e9dent\u00e9e La zone des tubercules La zone des tubercules Muqueuse gingivale palatine jusqu&#039;aux racines de la premi\u00e8re molaire<\/li>\n \t<li>S\u00e9lection des greffons : 1) Greffons p\u00e9dicul\u00e9s : \u2013 Lambeaux roul\u00e9s \u2013 Lambeaux d&#039;\u00e9paisseur r\u00e9duite \u2013 Lambeaux de rotation \u2013 Greffe de tissu conjonctif 2) Greffons libres, non p\u00e9dicul\u00e9s \u2013 Greffe muqueuse libre \u2013 Greffes de tissu conjonctif<\/li>\n \t<li>Insertion du greffon : Il est important de savoir que la position du greffon est sous le lambeau et \u00e9galement en fonction de la position du d\u00e9ficit.<\/li>\n \t<li>Fixation du greffon : Afin d&#039;\u00eatre stable, le greffon pourrait \u00eatre sutur\u00e9 \u00e0 l&#039;int\u00e9rieur du lambeau.<\/li>\n<\/ul>\n&nbsp;\n<h2>Techniques d&#039;augmentation des tissus mous<\/h2>\n&nbsp;\n\nThe key point for all dental professional is to consider the periodontal biotype of the patient when choosing the proper soft tissue augmentation technique. The therapist should plan to achieve a sufficient amount of the keratinized gingiva and also a proper selection of the abutment.\n\nIn the treatment of soft tissue augmentation, the dental workers could use different techniques in order to improve the surface of soft tissue:\n<h3>Greffe de tissu conjonctif (GTC) ou matrice dermique acellulaire avec lambeau coronairement avanc\u00e9 (CAF) :<\/h3>\nLes parodontistes utilisent cette technique pour recouvrir la racine de multiples r\u00e9cessions gingivales adjacentes, ce qui am\u00e9liore le CAL et la largeur du KT, ainsi que le contour de la cr\u00eate alv\u00e9olaire. Utilis\u00e9s correctement et selon les indications, ces traitements chirurgicaux peuvent donner des r\u00e9sultats stables et significatifs en termes de volume des tissus mous, contribuant ainsi \u00e0 une excellente prise en charge esth\u00e9tique.\n<img decoding=\"async\" class=\"img-responsive aligncenter\" src=\"http:\/\/www.dental-implants-asia.com\/wp-content\/uploads\/2023\/05\/ctg-1.webp\" \/>\n\n<\/div>\n<img decoding=\"async\" class=\"img-responsive aligncenter\" src=\"http:\/\/www.dental-implants-asia.com\/wp-content\/uploads\/2023\/05\/ctg-2.webp\" \/><img decoding=\"async\" class=\"img-responsive aligncenter\" src=\"http:\/\/www.dental-implants-asia.com\/wp-content\/uploads\/2023\/05\/ctg-3.webp\" \/>\n<ul>\n \t<li>\n<h3>Greffe de tissu conjonctif, matrice dermique acellulaire en combinaison avec un lambeau d&#039;enveloppe ou une poche (la technique bien connue du tunnel).<\/h3>\nCette technique, en \u00e9liminant les incisions de lib\u00e9ration verticales, optimise la vascularisation. Elle constitue un choix judicieux pour pr\u00e9server la hauteur de la papille. Cependant, elle offre l&#039;environnement sous-gingival le plus vascularis\u00e9 et optimal pour les greffes de matrice collag\u00e8ne sous-\u00e9pith\u00e9liale ou acellulaire.<\/li>\n \t<li>\n<h3>Greffe de tissu conjonctif p\u00e9dicul\u00e9 :<\/h3>\nUtilis\u00e9e dans la gestion des tissus p\u00e9ri-implantaires, cette technique de r\u00e9g\u00e9n\u00e9ration papillaire permet de recr\u00e9er un processus reproductible de formation tissulaire, similaire aux papilles interdentaires pr\u00e9existantes.<\/li>\n \t<li>\n<h3>Greffe gingivale libre :<\/h3>\nCette technique pourrait \u00eatre utilis\u00e9e en parodontologie pour augmenter la gencive attach\u00e9e et recouvrir les surfaces radiculaires d\u00e9nud\u00e9es. La litt\u00e9rature pr\u00e9sente quelques limites \u00e0 cette technique, telles que le mauvais alignement de la jonction muco-gingivale, l&#039;inad\u00e9quation esth\u00e9tique et l&#039;aspect volumineux.\n<p align=\"center\"><img decoding=\"async\" class=\"img-responsive\" src=\"http:\/\/www.dental-implants-asia.com\/wp-content\/uploads\/2023\/05\/free-gingival-graft.webp\" alt=\"Greffe gingivale libre\" width=\"450px\" \/><\/p>\nIndications : \u2013 Augmentation de la gencive attach\u00e9e \u2013 Augmentation de la profondeur vestibulaire \u2013 Ablation des freins coronaires ins\u00e9r\u00e9s dans la m\u00e2choire inf\u00e9rieure Contre-indications relatives : \u2013 D\u00e9tection de maladies syst\u00e9miques<\/li>\n \t<li>Certaines conditions physiologiques<\/li>\n \t<li>Patients s\u00e9niles et \u00e2g\u00e9s<\/li>\n \t<li>Patients ayant de mauvaises habitudes d&#039;hygi\u00e8ne bucco-dentaire<\/li>\n \t<li>Contre-indications : \u2013 parodonte tr\u00e8s d\u00e9truit<\/li>\n<\/ul>\n&nbsp;\n\nL&#039;utilisation de FGG autog\u00e8ne dans les proc\u00e9dures mucogingivales s&#039;av\u00e8re efficace pour corriger les d\u00e9fauts p\u00e9ri-implantaires des tissus mous. Cette technique est particuli\u00e8rement utilis\u00e9e pour augmenter la quantit\u00e9 de tissu k\u00e9ratinis\u00e9 autour de la zone d&#039;insertion de l&#039;implant.\n<div class=\"col-md-4\"><img decoding=\"async\" class=\"img-responsive aligncenter\" src=\"http:\/\/www.dental-implants-asia.com\/images\/fgg-1.webp\" \/><\/div>\n<div class=\"col-md-4\"><img decoding=\"async\" class=\"img-responsive aligncenter\" src=\"http:\/\/www.dental-implants-asia.com\/images\/fgg-2.webp\" \/><\/div>\n<div class=\"col-md-4\"><img decoding=\"async\" class=\"img-responsive aligncenter\" src=\"http:\/\/www.dental-implants-asia.com\/images\/fgg-3.webp\" \/><\/div>\n<h3>Greffes de muqueuse<\/h3>\n<img decoding=\"async\" class=\"alignright img-responsive\" src=\"http:\/\/www.dental-implants-asia.com\/images\/mucosa-grafts.webp\" alt=\"greffes de muqueuse\" width=\"350px;\" \/>Selon de nombreuses \u00e9tudes, l&#039;utilisation de greffes muqueuses issues de l&#039;ing\u00e9nierie tissulaire suscite \u00e9galement un vif int\u00e9r\u00eat en dentisterie. Ces greffes sont cr\u00e9\u00e9es \u00e0 partir de cellules n&#039;ayant jamais caus\u00e9 d&#039;affection tissulaire aigu\u00eb ou chronique. Elles ont le potentiel de repousser et de se diff\u00e9rencier en un nouveau type de tissu. Gr\u00e2ce aux avantages rapides des techniques d&#039;ing\u00e9nierie tissulaire duplicables, ces greffes ou substituts muqueux semblent repr\u00e9senter un nouvel espoir de r\u00e9g\u00e9n\u00e9ration pour les tissus perdus, la r\u00e9paration tissulaire et les l\u00e9sions des tissus mous caus\u00e9es par un traumatisme, le vieillissement ou certaines maladies. L&#039;introduction de greffes muqueuses, compos\u00e9es d&#039;une triade structur\u00e9e de cellules, d&#039;un support et de mol\u00e9cules de signalisation, peut \u00eatre pr\u00e9sent\u00e9e comme l&#039;aboutissement des traitements de r\u00e9g\u00e9n\u00e9ration parodontale.\n\n&nbsp;\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7788536 elementor-section-content-middle elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"7788536\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element 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It is important to consider the fact that the width of the exposed ridge would be reduced up by 50% more exactly, 5 to 7 mm. After three [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-416","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/dental-implants-asia.com\/fr\/wp-json\/wp\/v2\/pages\/416","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dental-implants-asia.com\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dental-implants-asia.com\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dental-implants-asia.com\/fr\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/dental-implants-asia.com\/fr\/wp-json\/wp\/v2\/comments?post=416"}],"version-history":[{"count":0,"href":"https:\/\/dental-implants-asia.com\/fr\/wp-json\/wp\/v2\/pages\/416\/revisions"}],"wp:attachment":[{"href":"https:\/\/dental-implants-asia.com\/fr\/wp-json\/wp\/v2\/media?parent=416"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}