Soft Tissue Grafting With Immediate Implant Placement Publisher



N Moslemi NEDA ; Mr Talebi Mohammad REZA
Source: Published:2025

Abstract

When immediate implant placement (IIP) therapy was originally conceived, it was thought that such an approach with no additional procedures would be sufficient to maintain the original alveolar dimensions and soft tissue contours. Soft tissue grafting at the base of papillae is also indicated when there is a risk of exposure of prosthetic margins of adjacent teeth/implants following extraction of a hopeless tooth. Histologic studies have shown an increase in the molecular parameters related to collagen cross-linking and maturation in fibroblasts of connective tissue grafts harvested from tuberosity. This finding might explain the occasional unaesthetic hyperplastic response following tuberosity soft tissue grafting. Rotated pedicle palatal flap is indicated when advanced hard tissue augmentation is performed simultaneous with maxillary single IIPs. This compensates for the lack of soft tissue over the extraction socket and enables soft tissue coverage without the necessity of buccal flap advancement which is especially crucial in the esthetic zone. © 2025 Elsevier B.V., All rights reserved.