No keratinized tissue placed supracrestal and buccal
A new patient presents saying his gums always bleed around an implant placed 5 yrs ago, what can be done.
MIS MF4 4.2x16mm
#4 implant has no keratinized tissue on the buccal, angulation of implant is towards the buccal cusp. overhang on existing implant crown
I removed the implant crown and prepped the adjacent tooth.
I placed a cover screw over the implant to allow for keratinized tissue to form.
What is the best treatment modality for this case? Let tissue grow over implant, perform a buccal roll or apically repositioned flap with new keratinized tissue that fills in? As well, what is the timeframe for healing with your suggestions please?