Soft and hard tissue augmentation after implant spontaneous exfoliation
Patient presented for implant placement 6 months after spontaneous implant exfoliation #left central incisor. Patient didn`t have any information about the implant # right central incisor that showed dark crown margin due to very thin buccal hard and soft tissue. Smile line is low and patient doesn`t care about aesthetics, wants to keep that # 11(#8) implant.
My first idea was to perform Khoury technique but at the same time I didn`t want to elevate papilla and buccal tissue from the adjacent implant. mIVAN technique was performed, defect grafted with dentin autograft, care was taken about displaced mucogingival junction.
The second surgery included buccal sliding palatal flap, implant placement, GBR, CTG, guided soft tissue augmentation.
The final result is not ideal but exceeded patient`s expectations.
What XPerts think, was it possible to achieve an ideal result with a different approach?