A 35-year female who had her tooth #14 extracted long time ago wants to have a restoration by implant.
Her oral hygiene maintenance is good and overall periodontal condition is healthy, but the volume of
soft tissue and width of the KG is insufficient in the buccal surface of #14.
I take the soft tissue above #14 before implant and remove very thin layer of epithelium from the soft
tissue.
Later,the soft tissue graft is utilized to increase the volume of soft tissue and the width of the KG.
One week later, the suture is removed and angiogenesis is noted. 2.5 months after implant, final
prosthesis is delivered. The width of the KG increases and the gingival biotype becomes thicker.
7M19D after final prosthesis, the graft site remains stable.
I notice both the width of KG increase and thickening of gingival biotype. I call this technique MKGA (
modified keratinized gingiva augmentation).
initial and immediate after graft
one and two weeks after graft
