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Jedediah posted an update
Sub crestal placement of your implants are crucial, but none more than your immediate implants. The thickness of your tissue and quality of tissue have a lot to do with your crestal bone maintenance and health over the life of your implant.
In this case, there were two premolars that were nonrestorable and were removed. The sites were cleaned and immediate implants placed with a flapless approach and the gap grafted utilizing CGF/PRF protocols. Pictures are two weeks post-op along with four months post-op for final impressions which were taken digitally, and then shortly after full zirconia crowns were delivered.
Chris, Meriem and 6 others6 Comments-
During uncovering can reflecting a flap from the buccal and releasing it to cover the healing abutments help?
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U typically wouldn’t do that at uncovery but if it’s a maxillary case we do what I call a palatial line angle incision and move a lot of great keratinized tissue to the buccal and do a little tissue roll and suture a couple simple interrupted sutures on each side of the healing abutment which is exposed, and that really helps bulk up the tissue and more healthy tissue to the buccal side.
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Do you have clinical photos or diagrams to show how to do this?
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I’ll post some more examples tonight
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hope this helps
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Something like this…
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