Soft tissue management of esthetic failure around osteointegrated implants (part 1)
New knowledge in soft tissue surgical management permits to achieve esthetic coverage in gingival recession with minimally invasive connective tissue grafts. The recession of the buccal soft tissue margin is a frequent complication of well integrated dental implants. The appearance of metallic structure or even their transparency through the thin buccal soft tissues are common reasons for patient aesthetic complains. Moreover, bad implant installation frequently results in excessive apical dislocation of the buccal soft tissue margin of the implant supported crown. Soft tissue plastic surgical procedures and bilaminar techniques in particular, can be successfully used in combination with a pre and postsurgical prostethic approaches to increase the volume of the interdental soft tissue, to treat buccal gingival recessions and soft tissue dehiscence around dental implants and to provide the new implant supported crown with an esthetic transmucosal emergency profile.