Treatment planning Soft tissue

The soft tissue has its role on papillae formation, emergence profile, acts like a barrier against mechanical trauma (e.g, toothbrushing) and microbial infections (mucositis, periimplantitis).

In addition, an adequate band of keratinized tissue during surgery can be necessary for vestibuloplasty procedures, to augment height and width of the anterior alveolar ridge (esthetic zone), and to help during primary soft tissue healing after fixture placement.

The following techniques can be used to create, augment or improve the band of keratinized tissue around osseointegrated implants.

Hard and soft tissue manipulation

1- free gingival graft

2- connective tisse graft

3- palatalsliding strip flap

4- Abram’s technique (envelop technique)

5- Other mucogingival surgeries