In the surgical procedure shown the peri-implant soft tissue situation in region 16 shall be improved. Dr. Wolfgang Bolz (Munich) extends the keratinized gingiva in the vestibular region of the already existing implant in the upper right jaw with a free gingival graft. He explains the individual steps of this surgical procedure, beginning with the preparation of the mucosa flap and subsequent preparation of the bed for the free gingival graft.
In order to ensure a stable apical fixation of the mucosal flap a double layer suture is placed using absorbable suture material. Then, the size of the tissue bed is measured and the results are transferred to the donor region of the palate by marking the field with bleeding points. An even thickness of the graft of 1.5 to 2 mm is aimed at. Before the free gingival graft is transferred and adapted to the prepared tissue bed, fat and connective tissues are removed.
Special suturing techniques secure the graft at the recipient site so that it is stable, thereby also achieving appropriate wound closure. A temporary restoration is integrated on the implants, also partly covering the graft site. A palate protection plate is inserted to protect the wound and promote healing at the donor site.