FGG prior to Bone Graft & Implants in Posterior Mandible

313 Rating(s).


Posted on By Maurice Salama In Soft Tissue Enhancement

A patient presents after failed implants desiring a solution. Knife edge ridge, no vestibule and No Keratinized Gingiva present. The plan is to first create a Vestibule and Thick KT to allow for BONE augmentation to be successful followed by implant placement. Here we create bed preparation, utilize autogenous palatal tissue and secure with monofilament sutures. Thoughts. Dr. Salama

Preop Ridge Condition
Bed preparation for Graft

Sutures of FGG
Sutures


Add to Favorites
Add a comment to the discussion on FGG prior to Bone Graft & Implants in Posterior Mandible


Upload photos
1.  Photo Title:

2.  Photo Title:

Would you like to follow this post?
Case has been added to your favorites.
Case has been removed from your favorites.
Thank you for your input. Your comment has been posted.
You are now following this member. You will get notified on any new topics posted by this member.
You are no longer following this member. You will not get notified on any new topics posted by this member.
Edit Comment
1.  Photo Title:
Current Image:   Delete Image
2.  Photo Title:
Current Image:   Delete Image
Comment has been updated.

7 Comments

Comparison of result.....now onto Bone and Implants...

Before
After


Reply

Why he did FGG first
Is there any specific guideline ?
Regards


Reply

Abdusalam; See my responses below. regards Dr. Salama


Reply

Eternal dilemma here, to do it before or after. Would you not find there will be more scarring on the tissues making it more difficult to mobilize the flap when you are doing the graft? Regards Mo


Reply

Andoni; Once you get past the new KT and fibRous healed tissues you can release as well as the original flap. regards Maurice


Reply

This is also my first choice for managing the atrophic mandible. You could wait and do soft tissue augmentation after implant placement but this improves the site for bone augmentation. Nice work!


Reply

Thanks Craig, I agree that my bone rafting works much better when I have dense KT, less muscle attachments to fight with and more vestibule length. Great to see you last week in Boston. regards Mo


Reply


DoWell Dental Products
Dentalxp