{"id":73771,"date":"2026-10-26T13:11:22","date_gmt":"2026-10-26T12:11:22","guid":{"rendered":"https:\/\/botiss.com\/?post_type=product&p=73771"},"modified":"2026-11-02T16:00:46","modified_gmt":"2026-11-02T15:00:46","slug":"sculpting-the-esthetic-zone-a-single-stage-approach-combining-crown-lengthening-implant-rehabilitation-and-mucoderm-soft-tissue-augmentation","status":"publish","type":"product","link":"https:\/\/botiss.com\/it\/prodotto\/sculpting-the-esthetic-zone-a-single-stage-approach-combining-crown-lengthening-implant-rehabilitation-and-mucoderm-soft-tissue-augmentation\/","title":{"rendered":"Sculpting the aesthetic zone: A single-stage approach combining crown lengthening, implant rehabilitation, and mucoderm\u00ae<\/sup> soft tissue augmentation"},"content":{"rendered":"

Initial clinical situation<\/u><\/strong><\/p>\n

A young adult patient presented with a complex anterior maxillary esthetic situation, including excessive gingival display, short clinical crowns, compromised anterior teeth, and a missing maxillary lateral incisor following previous cystic pathology. Clinical and radiographic evaluation revealed a combined hard and soft tissue defect, with localized collapse of the peri-implant contour and disharmony of the gingival architecture.<\/p>\n

The main challenge was not only implant placement, but the reconstruction of a stable and natural soft tissue volume in the esthetic zone. For this reason,\u00a0mucoderm\u00ae<\/sup><\/strong><\/a>\u00a0was selected as the central biomaterial to enhance peri-implant soft tissue thickness and contour while avoiding palatal donor site morbidity.<\/p>\n

The case was planned digitally, defining the final crown proportions, gingival margins, implant position, and required soft-tissue volume before surgery. A guided crown-lengthening procedure with vertical osseous recontouring was first performed to correct the gingival architecture and establish a stable hard-tissue foundation. The implant was then placed in a prosthetically driven position at the lateral incisor site.<\/p>\n

The soft tissue deficiency was reconstructed using mucoderm\u00ae<\/sup><\/strong><\/a>. The matrix was shaped extraorally with the help of a 3D-printed guide derived from the digital plan, allowing patient-specific adaptation to the defect morphology. The customized mucoderm\u00ae<\/sup><\/strong><\/a> was then positioned and stabilized using a poncho-type approach beneath the immediate provisional restoration, which helped support and condition the healing soft tissue.<\/p>\n

After uneventful healing and tissue maturation, the definitive restorations were delivered using layered zirconia.<\/p>\n

Clinical outcomes <\/u><\/strong><\/p>\n

The\u00a0mucoderm\u00ae<\/sup><\/strong><\/a>\u00a0graft contributed to a clear improvement in peri-implant soft-tissue volume, creating a more convex and harmonious buccal contour at the implant site. The reconstructed tissue showed improved transition with the adjacent teeth and supported a natural emergence profile for the final restoration.<\/p>\n

At follow-up, the clinical outcome demonstrated stable soft-tissue maturation, preservation of the reconstructed contour, and harmonious integration of the implant-supported restoration within the anterior maxilla. The digital contour analysis further supported the clinical observation of progressive buccal soft-tissue thickening and stable buccal convexity over time.<\/p>\n

Key results included improved peri-implant soft-tissue thickness, enhanced buccal convexity, stable esthetic integration, reduced patient morbidity by avoiding palatal harvesting, and successful use of\u00a0mucoderm\u00ae<\/sup><\/strong><\/a>\u00a0as a digitally planned patient-specific soft-tissue scaffold.<\/p>\n

Conclusion<\/u><\/strong><\/p>\n

This case highlights mucoderm\u00ae<\/sup><\/strong><\/a> as a key component in the reconstruction of peri-implant soft-tissue volume in a challenging esthetic-zone defect. When combined with digital planning, guided surgery, immediate provisionalization, and patient-specific matrix shaping,\u00a0mucoderm\u00ae<\/sup><\/strong><\/a> allowed a controlled, minimally invasive, and esthetically stable soft-tissue augmentation.<\/p>\n<\/div>

\"Preoperative<\/a><\/div><\/div>
\"Close-up<\/a><\/div><\/div>
\"Virtual<\/a><\/div><\/div>
<\/div>
\"\"<\/a><\/div><\/div>
\"Intraoperative<\/a><\/div><\/div>
\"Adaptation<\/a><\/div><\/div>
<\/div>
\"Closure<\/a><\/div><\/div>
\"Clinical<\/a><\/div><\/div>
\")<\/a><\/div><\/div>
<\/div>
\")<\/a><\/div><\/div>
\"Superimposition<\/a><\/div><\/div>
\"CBCT<\/a><\/div><\/div>
<\/div><\/div><\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":73789,"template":"","meta":{"_acf_changed":false,"content-type":"","footnotes":""},"product_brand":[],"product_cat":[37,301],"product_tag":[199],"class_list":["post-73771","product","type-product","status-publish","has-post-thumbnail","product_cat-cases","product_cat-clinical-cases","product_tag-mucoderm","first","instock","product-type-simple"],"acf":[],"yoast_head":"\nSculpting the aesthetic zone: A single-stage approach combining crown lengthening, implant rehabilitation, and mucoderm\u00ae soft tissue augmentation - botiss biomaterials GmbH<\/title>\n<meta name=\"description\" content=\"Dr Bashar Husseini - Sculpting the Esthetic Zone:A Single-Stage Approach Combining Crown Lengthening, Implant Rehabilitation,and mucoderm\u00ae Soft Tissue Augmentation\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/botiss.com\/it\/prodotto\/sculpting-the-esthetic-zone-a-single-stage-approach-combining-crown-lengthening-implant-rehabilitation-and-mucoderm-soft-tissue-augmentation\/\" \/>\n<meta property=\"og:locale\" content=\"it_IT\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Sculpting the Esthetic Zone:A Single-Stage Approach Combining Crown Lengthening, Implant Rehabilitation,and mucoderm\u00ae Soft Tissue Augmentation\" \/>\n<meta property=\"og:description\" content=\"Dr Bashar Husseini - 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