Objective: To evaluate the results and clinical characteristics of free palatal mucosa flap in reconstructing peri-implant attached soft tissue.

Methods: 126 cases with partial edentulous or edentulous were undergone soft tissue reconstruction and implant treatment from July 1997 to June 2005. A total of 388 implants were placed. The mean follow-up period was over 13 months. Mucosa flaps were measured at the operation and compared the size changes one year after operation.

Results: Necrosis occurred in 3 mucosa flaps out of 126 cases 10 days postoperatively. Mean shrinkage of mucosa flap was 56%(37%-70%). No loss of implant was found in the last follow-up and attached soft tissue width was over 3 mm in 371 implants. Eight implants were diagnosed as peri-implantitis (2.06%).

Conclusion: It is effective and predictable to reconstruct peri-implant attached soft tissue with free palatal mucosa flap.

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