PET combined with rotated connective graft
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.