Anterior Implant with Connective Tissue Graft
Description
Anterior implant cases can be some of the most intimidating procedures in dentistry. Recession, thin tissue, and esthetic complications often make clinicians hesitant to intervene. In this case, you’ll see how connective tissue grafting was used to correct soft tissue deficiencies, resolve peri-implant inflammation, and create a healthier, more esthetic outcome. Follow the procedure step by step and learn the surgical techniques that can help you approach these challenging cases with confidence.
What you'll learn
- Harvest and prepare a de-epithelialized connective tissue graft (CTG)
- Diagnose soft tissue deficiencies around anterior implants
- Perform implant surface debridement using saline irrigation only (no rotary brushes or implantoplasty)
- Design a coronally advanced flap (CAF) for optimal tissue coverage
- Preserve the papilla between #8 and #9 to maximize esthetic outcomes
- Achieve tension-free flap advancement and stable graft adaptation
- Improve peri-implant soft tissue thickness and contour
- Manage recession around an anterior implant predictably
- Optimize suturing for graft stability and esthetic healing
- Protect the blood supply to maximize graft survival
- Evaluate healing milestones and expected post-operative outcomes
The patient presented with pain around a maxillary anterior implant. Clinical examination revealed peri-implant soft tissue concerns, and CBCT evaluation demonstrated radiographic artifact surrounding the implant on the sagittal view, prompting further investigation and surgical management. Rather than aggressive implant surface instrumentation, this case demonstrates a biologically driven approach focused on meticulous implant debridement using saline irrigation, soft tissue enhancement, and connective tissue grafting.
You’ll watch every step of the procedure, including flap design, harvesting and preparation of a de-epithelialized connective tissue graft, implant debridement without rotary brushes or implantoplasty, and a coronally advanced flap designed to preserve the papilla between teeth #8 and #9 for optimal esthetic integration.
The video concludes with a 3-month post-operative evaluation, where you’ll assess the final healing outcome. The peri-implant tissues demonstrate a healthy, thick, and natural appearance with resolution of inflammation and significantly improved soft tissue architecture. This case provides practical surgical techniques and clinical decision-making strategies that can be immediately applied to anterior implant soft tissue management, peri-implant recession treatment, connective tissue grafting, and esthetic implant therapy.
Curriculum
Instructor
0 Students20 Courses
Price
$79.99$49.99
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Step inside the operatory and follow a complete surgical case from diagnosis to final healing. Every procedure is filmed in high-definition from the surgeon's point of view, giving you an authentic learning experience you can apply in your own practice.
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