Soft tissue management around implant with SCTG and slim healing abutment
A 27-year-old female patient, in good general systemic health, presented to the dental practice with:
- Missing dental element in the position 35# FDI. The tooth was extracted 5 years before due to an orthodontic treatment
- Vestibular deficit in correspondence to the missing element
A NobelReplace® CC NP implant was placed to substitute the missing tooth with an implant fixed prosthesis. The vestibular volume deficit was instead compensated by augmenting the soft tissues with a Sub-epithelial Connective Tissue Graft (SCTG), harvested from the maxillary tuberosity, punched into a slim healing abutment. The slim healing abutment was substituted with a normal size healing abutment once the soft tissue healing was completed. The definitive prosthetics made of a universal abutment in Titanium and an Emax crown was delivered 12 weeks post augmentation procedure.
At 3 years follow up, marginal bone stability, good hygiene and soft tissue stability were observed.