Soft tissue grafting around dental implants – experience with autogenous tissue

Despite the fact that osseointegrated implants can be maintained successfully on a long-term basis, increasing evidence indicates that the presence of an adequate width of attached mucosa (AM) may lead to better soft and hard tissue stability, less plaque accumulation, less soft tissue recession and lower incidence of peri-implant mucositis. Therefore, adequate proportions of stable soft tissue appear to be essential for ensuring long-term clinical stability. Furthermore, the stability of pink esthetics around dental implant prostheses has been strongly correlated with adequate peri-implant soft tissue thickness.

The aims of present lecture are:
a) to provide the biological and clinical rationale supporting the need of an adequate width of AM to maintain peri-implant health and,
b) to present clinical cases illustrating the use of autogenous soft tissue grafts in various clinical indication around dental implants.