Abstract

Among the various problems that can occur in the extraction socket, hypertrophic scars are rare. A hypertrophic scar with a pattern similar to that of a keloid should be treated by accurately identifying its clinical characteristics. This report describes the clinical differential diagnosis and treatment of hypertrophic scars after extraction of the maxillary left first and second molars. The treatment of hypertrophic scars with excisional biopsy was successful, and there was uneventful healing in the subsequent sinus floor elevation and implant placement. In addition, there were no recurrences or other problems during a follow-up period of approximately 16 months after completion of the prosthesis. Under a clear diagnosis, hypertrophic scars can be treated through excision, and primary wound closure after excision is important for successful results.

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