Masking buccal plate remodeling in the esthetic zone with connective tissue grafts: immediate implant concepts,...

There are many factors to consider concerning immediate implant placement in the esthetic zone, particularly with regard to the biology of remodeling of the anterior maxillary buccal plate. Various techniques have been advocated to minimize alveolar and gingival resorption with immediate implant placement, including the use of particulate grafts in the facial horizontal defect and the use of connective tissue grafts. Full-thickness flaps, split-thickness tunneling, and small subepithelial connective tissue grafts (SCTGs) that are placed coronal to the crest are technique variations that could affect the amount of buccal plate resorption. This case series discusses technique options for autogenous SCTGs with immediate implant placement.