Soft Tissue Augmentation of Dental Implants -Before, During and After Implant Placement

Abstract

Background: Dental implants have traditionally been focused on bone quality and quantity to house the dental implant for successful restoration of the edentulous ridge. Rough surface implants provide predictable osseointegration but results in the development of peri-implantitis when exposed to the oral environment. The peri-implant mucosa provides protection to the underlying bone via its immune response and protection from apical biofilm migration. An adequate band of attached keratinized mucosa also improves comfort with performing oral hygiene, limit early marginal bone loss and improved aesthetic outcomes around implant prostheses. Aim: The purpose of this article is to provide a literature review on the importance of attached keratinized mucosa around dental implants. It also shares simple strategies to improve the peri-implant submarginal approach reduces the risks the procedure worsening soft tissue recession around the implant; (C) A case with implants in the lower right quadrant replacing teeth 35,36 and 37. The site has no attached keratinized mucosa and if tender to oral hygiene and bleeds on proving; (D) Submarginal AAPTF; (E) FGG sutured to the periosteum bed; (F) 3-month review of the site showing an excellent band of attached keratinized mucosa. There is no more discomfort in performing oral hygiene and the site has healthy periodontal attached tissue with no bleeding on probing.