Poster no. 2 Dr. Abhishek Mistry

1. Deficient Tissues-
Efficient Solutions!
Implants today, have become an ever increasing
choice by patients as a tooth replacement option.
However, soft tissue deficiencies are one of the
challenges that may develop post implant
placement.
This poster presents cases of the various soft
tissue corrective options for horizontal defects
seen post implant placement
Slide No. 1 Dr. Abhishek.R.Mistry Poster No.2

2. Pre operative condition
Case 1 Case 2
Occlusal view after stage-one Occlusal view after stage-one
implant surgery implant surgery
Note the deficient soft tissue on Note the deficient soft tissue on
buccal aspect buccal aspect of molar
Slide No. 2 Dr. Abhishek.R.Mistry Poster No.2

3. Case 1
Surgical phase
Case 2 A buccal mini-pedicle
flap outlined the platform
Beveled palatal of the implant at the
incision maxillary right first molar
site and was 1 mm
wider than the diameter
of the underlying
implant platform. It was
Facial view: then de-epithelialized
“Trap-door”
incision of the
Full-thickness
occlusal tissue
flap elevation
extended to the
buccal aspect of
Palatal view of
the implant site
the folded
occlusal tissue
Mini-pedicle flap
rolled
Flap repositioned and underneath the
sutured to its original buccal pouch
position
Slide No. 3 Dr. Abhishek.R.Mistry Poster No.2

4. Post operative pictures
Case 1 Case 2
Occlusal view 6 months aftersurgery Occlusal view 2 weeks after surgery
Postoperative buccal view12 months after Occlusal view 3 months after surgery
surgery
Slide No. 4 Dr. Abhishek.R.Mistry Poster No.2

5. Conclusion
Horizontally deficient soft tissue is a frequent
problem encountered following extraction which can
compromise esthetics. Use of various soft tissue
augmentation techniques after implant placement are
an effective treatment options to compensate for loss
of labial soft tissue volume and to maintain good
esthetic results over time.
References/ Cases sourced from:
1. Int J Periodontics Restorative Dent 2012;32:187-93
2. Int J Periodontics Restorative Dent 2012;32:e116 - e121
Slide No. 5 Dr. Abhishek.R.Mistry Poster No.2