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The dome technique: a new surgical technique to enhance soft-tissue margins and emergence profiles around implants placed in the esthetic zone

Authors Irinakis T, Aldahlawi S

Received 14 October 2017

Accepted for publication 5 January 2018

Published 14 February 2018 Volume 2018:10 Pages 1—7


Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Colin Mak

Peer reviewer comments 3

Editor who approved publication: Dr Christopher Okunseri

Tassos Irinakis,1 Salwa Aldahlawi1,2

1Faculty of Dentistry, University of British Columbia, Vancouver, BC, Canada; 2Faculty of Dentistry, Umm Al-Qura University, Mecca, Saudi Arabia

Abstract: Achieving symmetry of the soft-tissue margins between anterior maxillary dental-implant restorations and adjacent teeth is a therapeutic challenge for both the implant surgeon and the restorative dentist. This article describes a modified procedure utilizing autogenous connective-tissue grafts to improve primarily buccal soft-tissue margins and secondarily interproximal tissues around tooth-bound single dental implants. This technique has the advantage of allowing for coronal augmentation of the peri-implant soft tissue while maximizing the blood supply to the area by using tunneling-technique principles. A detailed description of the technique and a case with a stable result over 24 months after crown placement is presented.

Keywords: esthetic dental treatment, peri-implant soft tissue, autogenous connective-tissue grafts, dental implants, soft tissue augmentation, tunnel technique

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