PMC9126713_01
Desquamative erythematous lesion in the vestibular area upper left quadrant.
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Erythematous and ulcerated mucosal tissue were observed on the buccal vestibule of the upper left and lower left quadrants (Figures 1 and 2).
Lichenoid lesion related to tooth #37.
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Erythematous and ulcerated mucosal tissue were observed on the buccal vestibule of the upper left and lower left quadrants (Figures 1 and 2).
Improved soft tissue response to topical corticosteroid therapy two months after diagnosis.
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Two months after systemic and local treatments, the patient presented with an improved soft tissue status and healthier-looking tissue (Figure 3).
The sequence of the surgical management of the upper left quadrant. (a) After tooth extraction and ridge deficiency is noticed at the 1st premolar site. (b) Implant placement at #25 and 24. (c) Allograft bone material is used to fill the buccal gap at the extraction socket and augment the buccal ridge at #24. (d) Upon flap closure, a tissue tear was noticed at the mucosal area of the site.
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The tissue was difficult to suture at this point, and tears at the buccal mucosa were noticed upon tightening the sutures (Figure 4).
(a) Eight days of follow-up presented with exaggerated tissue response to the surgery. (b) Four weeks postoperative with better soft tissue response. (c) Eight weeks postoperative with thin, soft tissue covering the implants.
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On eight weeks follow-up, healing appeared to be better with around 2 x 2 mm soft tissue exposure of cover screw at the site of the second premolar (Figure 5).
(a) At three months postimplant placement, the radiograph showed slight crestal bone loss. (b) Implants exposure with healing abutments. (c) Two weeks healing with better soft tissue healing and healthier-looking tissue.
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The tissue appeared firm, pink in color, and free of inflammation (Figure 6).