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Soft Tissue Augmentation around Previously Placed Implants

In this operation Prof. Wachtel (Munich) starts with raising a full flap using a sulcular incision and a 15 and a micro scalpel blade. After denuding the bone a subepithelial connective tissue graft is taken from the palatal region. Care has to be taken not to hit the palatal artery and to leave a palatal epithelial thickness of approximately one millimetre to avoid healing problems.

The palatal wound is closed by a running suture and a splint is placed to support the initial healing period. The periosteum of the buccal flap is then split to mobilise the flap further. The residual bone of the planned implant site is perforated to increase blood supply for the artificial bone and the connective tissue graft is stitched to the buccal flap.

Then two different membranes are placed underneath the soft tissue graft and bone of bovine origin (BioOss) placed on the residual denuded bone. The closing of the wound is conducted with mattress and interrupted sutures under the avoidance of any tension.

 

Soft Tissue Augmentation around Previously Placed Implants

In this operation Prof. Wachtel (Munich) starts with raising a full flap using a sulcular incision and a 15 and a micro scalpel blade. After denuding the bone a subepithelial connective tissue graft is taken from the palatal region. Care has to be taken not to hit the palatal artery and to leave a palatal epithelial thickness of approximately one millimetre to avoid healing problems.

The palatal wound is closed by a running suture and a splint is placed to support the initial healing period. The periosteum of the buccal flap is then split to mobilise the flap further. The residual bone of the planned implant site is perforated to increase blood supply for the artificial bone and the connective tissue graft is stitched to the buccal flap.

Then two different membranes are placed underneath the soft tissue graft and bone of bovine origin (BioOss) placed on the residual denuded bone. The closing of the wound is conducted with mattress and interrupted sutures under the avoidance of any tension.

 

About the expert

Hannes Wachtel

Prof. Dr. Hannes Wachtel

Specialist for periodontology at the Bolz/Wachtel Dental Clinic

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