• Buccal soft tissue augmentation with mucoderm® to increase thickness, followed by placement of healing abutments for open healing.
Omar Elattar
Dr. Omar Elattar

CLINICAL CASE

Horizontal Management of Peri-Implant Soft Tissue Deficiency with mucoderm®

Dr. Omar Elattar

A 45-year-old patient presented with missing mandibular molars #46 and #47 and requested an implant-supported solution. Due to the long-standing edentulous area, the soft tissue volume and thickness were compromised. The treatment objective was to establish an adequate soft tissue contour and a natural emergence profile for the definitive restoration.

Two implants were placed at sites #46 and #47, followed by simultaneous buccal soft tissue augmentation using mucoderm® as a low morbidity alternative to an autogenous connective tissue graft. Healing abutments were inserted to allow for transgingival healing.

Following initial soft tissue thickening and volume gain achieved with mucoderm®, custom healing abutments were fabricated and placed to progressively shape the peri implant soft tissue and develop a natural molar emergence profile. The final outcome demonstrates a substantial increase in soft tissue volume and a well contoured emergence profile achieved through the combination of mucoderm® and staged soft tissue conditioning with custom healing abutments, without the need for bone augmentation.

Initial clinical situation (#46 and #47 missing)
Implant placement in sites #46 and #47
Buccal soft tissue augmentation with mucoderm® to increase thickness, followed by placement of healing abutments for open healing.
Suturing and wound closure.
Two-month follow-up showing increased buccal tissue thickness and improved soft tissue volume.
Removal of the healing abutments at the two-month follow-up, showing increased peri-implant soft tissue thickness and favorable tissue contour.
Insertion of custom healing abutments to further contour and condition the peri-implant soft tissue toward a molar-shaped emergence profile.
Two weeks later: evident volume and thickness gain achieved with mucoderm® and staged soft tissue conditioning.
Before and after soft tissue conditioning showing increased buccal tissue volume and an optimized emergence profile.
Final prosthetics.

mucoderm®Soft tissue management

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