PMC3645463_01
Preoperative view showing malpositioned implant.
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The implant appeared to be osseointegrated with a buccal dehiscence and 30%-40% of facial implant showing through gingival tissue due to minimal bone width (Figures 1A and 1B). The donor connective tissue graft was collected from the palate (size 8 x 12 x 1.5 mm); the graft was placed within the envelope flap (Figures 1C-1G) and sutured in place using 5-0 Monocryl sutures.
Preoperative X-ray.
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A subepithelial connective tissue graft was recommended to achieve gingival augmentation and to esthetically mask the appearance of the implant (see Figures 2A-2F).
Connective tissue graft in place.
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The patient was anesthetized using 2% lidocain with 1:100,000 epinephrine (Figures 3A-3F).