ArticleClinical case reports2026
Management of Peri-Implant Soft Tissue Dehiscence Using Laterally Closed Tunneling With a Connective Tissue Graft: A Case Report.
Article in Clinical case reports, 2026. 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
Peri-implant soft tissue dehiscence is an esthetic complication for which coronally advanced flap with connective tissue grafting remains a predictable treatment, whereas evidence for laterally closed tunneling (LCT) around implants is limited. This single-patient case report describes a 4 × 3 mm labial peri-implant soft tissue dehiscence at an immediately placed implant replacing the maxillary left central incisor. LCT combined with a de-epithelialized free gingival graft and limited implantoplasty was performed. At 24 months, complete coverage was maintained; buccal soft tissue thickness increased from 1.0 to 2.7 mm, keratinized tissue width from 1 to 3 mm, Pink Esthetic Score from 6 to 12, Mucosal Scarring Index from 3 to 0, and patient satisfaction from 4 to 10. Standardized periapical radiographs showed stable interproximal crestal bone levels without evidence of progressive bone loss. In this single case, LCT with a de-epithelialized free gingival graft was associated with stable soft tissue coverage and favorable esthetic and patient-reported outcomes over 24 months; further studies are required to determine reproducibility and predictability.
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