Category: Soft Tissue

Thin biotype + recessions: the magic of the connective tissue

Today we have this patient with a really thin biotype, we can even see the roots of the teeth through the tissue and the lack of bone in between them. We can see 2 recessions that we are going to graft with a connective tissue graft placed through a tunnel approach, covering these recessions and…
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Coverage of a large recession

Dear Colleagues, Today we present the case of a patient who consulted us having been referred by the orthodontist after orthodontic treatment. She presented with a recession in the central lower right incisor as well as a high frenal attachment. The patient had a very fine gingival biotype that went as far as to cause transparency in the roots of…
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Recession: Frenectomy and tunnelled connective graft

The following patient was referred to us, non-smoking and with no relevant medical history, who presented with this Miller Class II recession in a central lower incisor. She also presented with a high frenal attachment, which alongside her fine gingival biotype was a factor in the recession. We proceeded with a combined approach – we performed a frenectomy and also…
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Covering recessions after orthodontics

Covering recessions after orthodontics The following 38-year-old non-smoking patient, with no relevant medical history, was referred to us by a colleague. The patient stated that after finishing orthodontic treatment, she had noticed a gum recession in the lower incisor and that she wanted to correct the problem. Contributing to the issue was the presence of…
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Implants on 3D mandibular reconstruction

Dear Colleagues, A couple of months ago we saw a case of mandibular reconstruction with tunnel access, which you can view in full at: Gaining height in the posterior mandible. After waiting for 5 months, we performed dental implant surgery, using a modified Kazanjian Vestibuloplasty access to allow us to gain adhered gum and place the…
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Lower overdenture: improving soft tissues

4 weeks ago, we saw the case of a patient with 4 dental implants in the mandible, who had extensive bone defects. We explanted 2 implants and placed 4 new dental implants in the mandible for a lower overdenture. You can view the case at: Lower overdenture: explantation and implantation. After waiting 3 months for the osteointegration of the…
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Follow-up: Post-extraction implants + Connective tissue graft

5 weeks ago, we saw this case of Post-extraction implant + Connective tissue graft, in which we placed a post-extraction implant in a lateral incisor, and to avoid vestibular collapse, we inserted connective tissue through tunnel access. Here you can view photographs of the postoperative period at 7 days and 4 weeks, where you can observe the…
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Vestibuloplasty + Implant in one surgery

Today we are going to talk about the Kazanjian Vestibuloplasty. Origin of Kazanjian Vestibuloplasty Kazanjian vestibuloplasty is a technique that is over 100 years old, developed by Varaztad Kazanjian. This technique is developed for those patients which the full prosthesis is already moving and does not have any fixation. The original technique of Kazanjian consists…
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Epithelial free graft in patients with perimplantitis

Today we present the case of a 39-year-old patient who came to the consultation because of pain “in the mandibular implants”. The patient had a fixed prosthesis over 6 implants, placed 4 years ago in another clinic. At the point of the consultation, she complained of pain and bleeding while chewing and brushing. Following removal…
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Anterior section: Post-extraction implant + Connective tissue graft

A 30-year-old male patient was referred to us with root remains in tooth 22. The patient had no relevant medical history and was a non-smoker. We proceeded to perform the extraction as atraumatically as possible. We placed the implant parallel to adjacent teeth and with emergency through its cingulum.