Prof. Giovanni Zucchelli

Soft Tissue Guided Implant 
Therapy

Soft tissue plastic approaches to increase the height of the keratinized mucosa and / or the thickness of the peri-implant soft tissues can be performed at three different stages: before implant placement, simultaneously with implant placement and after implant placement.
After implant insertion, specially in the mandible, it is frequent to face clinical scenarios in which there is complete absence or a minimal quantity of keratinized tissue, many of the times associated with a reduced depth of the vestibular fornix and a coronal muscle insertion. In these cases,  where there are no esthetic demands, the main objective is  to reconstruct/increase the quantity of keratinized mucosa and deepen the vestibule so as to facilitate the performance of oral hygiene by the patient and at the same time reduce the risk of soft tissue dehiscence . The most appropriate surgical technique to obtain those results is the free gingival graft.

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