Soft Tissue Surgical Procedures for Optimizing Anterior Implant Esthetics

Figure 2

(a) Patient had previous bone grafting and numbers 8 and 9 implant placement. Note minimal keratinized attached gingiva over grafted area of numbers 8 and 9 due to coronal advancement of the flap. (b) Note the deficient soft tissue profile following placement of a provisional prosthesis with appropriate tooth emergence. (c) Donor site and graft procurement. (d) Collagen tape and cyanoacrylate to reduce discomfort over donor site. (e) Graft secured and well adapted to recipient bed with multiple sutures. (f) Recipient site following healing. Note the increase in height and thickness of the keratinized attached gingiva. (g) Numbers 8 and 9 implant sites prepared for second stage surgery. (h) Recipient site after numbers 8 and 9 implant restorations, showing stable keratinized attached gingiva. (i) Lateral view of recipient site. Note the thick buccal keratinized attached gingiva, establishing an esthetic emergence profile for the implant restorations.

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