Tooth fracture at the cervical level on #9
After extraction
Extracted tooth
Implant placement and healing abutment connection
Bone graft
After bone graft between the buccal bony wall and the implant
Donor site of a gingival graft
A small piece of the gingival graft
Buccal view after the gingival grafting
Occlusal view after the gingival grafting
I often utilize a small gingival graft to enhance gingival contour on the buccal side of dental implants. However I don’t know if the graft would stay there for a long time. I have been monitoring the contour change even if it’s done visually and subjectively.
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Nice case, Gene.
It will certainly help with the soft tissue contour and provide with a nice emergence profile for the crown that will come.
Is that a healing abutment on the fixture top?
Thanks Scott. Yes, it is a 5×3mm healing abutment. I had to use a straight type healing abutment due to the bone on the proximal and lingual side which is usually located coronally. The bone should be reduced if you want to put a flare (6mm diameter) type healing abutment. When you are trying to adapt the buccal mucosa toward the abutment, the coronal portion of the mucosa will be rotated ligually and apically if you don’t put releasing incisions. It will happen more when you use smaller diameter healing abutments. I don’t like this mucosal rotation. I want to keep it where it is. The grafting is not for the mucosal augmentation. It is just to support the buccal mucosa and to secure the underlying bone grafts.
Nice…
I can’t wait to see how it looks when the permanent crown goes on.
Be sure to share that with us.
I have a couple of cases restorative works of which have been completed. They are looking good. I will share those cases if I have a chance. Thanks Scott.
Nice case.
Is it possible to support the soft tissue by placing a temporary crown?
Temporary crowns can help support and mold soft tissues.