An inverted partially epithelialized connective tissue graft around dental implants: A report of three cases
Bibliographic record
Abstract
In clinical practice, it is common to encounter dental implants with insufficient keratinized mucosa width (KMW) and decreased peri-implant mucosa thickness (MT). Research indicates that such soft-tissue deficiencies can lead to unsatisfactory esthetic results and decreased bone stability over time. This case report presents a variation of standard free gingival graft and connective tissue graft (CTG) techniques, termed the inverted partially epithelialized CTG (IPE-CTG). Three patients (2 males and 1 female) experiencing insufficient attached gingiva and reduced peri-implant tissue volume were effectively treated with the IPE-CTG. This approach involves placing a partially epithelialized graft as an onlay graft on the recipient site, with the epithelialized surface oriented apically and the de-epithelialized surface directed coronally. This technique aims to address KMW and MT deficiencies in a single procedure. All cases treated with the IPE-CTG exhibited stable results over a 12-month period, with notable improvements in both KMW and MT.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".