PET combined with rotated connective graft

118 Rating(s).


Posted on By Emilio Rodriguez-Fernández In Anterior/Esthetic

A woman of 57 years old arrived to the office with decapitated canine. At the exploration did not show pain or fistula, thick gingival biotype and a thin buccal plate. My intention was to preserve the buccal volume wit a PET (partial extraction therapy) and a simultaneous implant placement. However, during the intervention I could not achieve primary stability. So I decided to leave the implant in two stages.

To protect the immediate implant and increase the soft-tissue I employed a rotated connective tissue graft from the palate. After 8 weeks, I went back with a flapless approach to connect a healing cap to the osseointegrated implant and before the introduction of a temporary restoration.

Sometimes, even if you use good materials and execute a meticulous surgery, achieve primary stability is not possible. The use of mucogingival surgery can protect our implant and optimize aesthetic and functional results.

Here I leave you my primary clinical results after 14 weeks.

My best,

Emilio

initial situation
partial extraction

implant placement
connective tissue


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2 Comments

Nice result....do you have a radiograph or occlusal photo with healing abutment removed. Very nice. Dr. Salama


Reply

Thank you Dr! Of course I have. Here you can see, I hope you like it!

Access to the implant
Radiograph control


Reply

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