This article reports a clinical case with a 4-years follow-up in which subepithelial connective tissue graft harvested by two different technique was used to recuperate the aesthetic conditions of the two previous implanted anterior areas which presented soft tissue fenestration and osseous dehiscence promoted by dental extraction. The highly compromised areas were treated using subepithelial connective tissue grafts which due the necessity of the quantity and quality were harvested by using two different surgical techniques: dental wedge and free gingival graft. After 4-years of follow-up the goal of treatment was fully reached. The gingival soft tissue around periimplantar area is stable and seems to be normal. The two techniques applied to harvest subepithelial connective tissue in this case were essential to obtain a large amount of tissue to be grafted. Quality and quantity of the subepithelial graft are critical conditions to maintain stability during the early phase of healing process, allowing and improving initial revascularization.
Jose R Kinaa, Eunice Kina, Juliana Kina, Monica Kina
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