Soft and Hard Tissue Revision Around an Implant: Case Report with a 10-Year Follow-up.

ABSTRACT

Dental implants are the most promising modality of tooth replacement in the modern era. Of late, peri-implant architecture has gained significant importance and forms the basic foundation for success of an implant restoration, with both the hard and soft tissue components around an implant playing vital roles in the osseointegration process. A 23-year-old man reported with a titanium membrane exposure around tooth site 16 (FDI tooth-numbering system) along with decreased attached gingival width and thickness. To gain soft tissue thickness, a rotated connective tissue graft was harvested, as was a "sticky bone" graft to gain bone volume. Connective tissue is one of the most promising modalities for soft tissue augmentation around both the natural tooth and implants. "Sticky bone," which is a more advanced form of bone grafting techniques, was implemented to achieve the benefits of injectable platelet-rich fibrin. This case report describes the hard and soft tissue augmentation procedure and successful results at the 10-year follow-up, as well as fabrication of an implant-supported fixed partial denture.