ArticleJournal of surgical case reports2025
Deepithelialized punched tissue for buccal soft tissue augmentation in implant placement.
Article in Journal of surgical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Adequate buccal soft tissue thickness is essential for long-term implant stability and aesthetics. Conventional augmentation with palatal connective tissue grafts is effective but increases morbidity and surgical time. This report presents a novel technique in which keratinized mucosa, routinely removed during guided implant placement, was preserved, deepithelialized, and reused as an autogenous graft. Two cases were treated: one with delayed loading and one with immediate loading. In both, the graft was placed into a buccal pouch and stabilized with a healing abutment. Clinical and radiographic follow-up showed uneventful healing, improved buccal soft tissue thickness, and stable peri-implant bone levels at 6 months. This technique highlights the feasibility of reusing discarded tissue as a donor-site-free grafting material within guided workflows.
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