CTG vs. GBR to correct facial concavity
I wanted to post this case I will be doing shortly to hear different opinions on how you all would treat it.
This is my assistants sister. She had the implant placed about 12 years ago for replacement of a congenitally missing lateral incisor. Over time the buccal plate and tissue has resorbed (or may never have been present) resulting in a concavity (and shadow) which she has become more self conscious of recently. CBCT shows a thin remaining buccal plate.
My initial thought was a GBR / veneer graft With a mixture of allograft / xenograft for slower resorption and PRF. With a possible secondary CTG if indicated.
-I have also considered alloderm. Thoughts?
-Vista vs conventional flap?
I am Interested to hear some discussion on a problem we all see. And again, this is my assistants sister...so pressure is on!