Soft tissue complications: Major flap tear during a tunnel flap and graft with ADG
I thought I'd share a case about complication management. Surely I'm not the only one who has ever torn a flap while grafting. It's also one of the most frequently asked questions I get.
This patient presents with sensitivity related to recession on #11-12. A number of treatment options were presented to him, and we ultimately decided to graft #11-12 with an acellular dermal graft material (ADG). These defects were surely a "slam dunk" so I chose to tunnel the recipient site but promptly tore the flap horizontally along the mucogingival junction. The photos that follow are how I managed it and the results at 2 years.