It's always tricky to manage the soft tissues in the anterior maxilla post bone augmentation. Here the patient presented with a deficient vestibule and lack of attached gingiva post ridge GBR. We managed the vestibular deficiency using a vestibuloplasty + connective tissue graft. But then we also added tuberosity CTGs around the healing abutments for volume augmentation.

Photos show final healing with improved soft tissue quality and quantity.

This patient presented for second stage post ridge splitting in the maxillary anterior. We utilized an apically positioned flap to position KG to the buccal aspect. We also add a palatal connective tissue graft (CTG) to augment the buccal soft tissue volume. This was then followed by provisionalization. Photos show the final soft tissue profile with tissue abundance.

This patient presents with recession and exposure of both the implant and abutment. This was also accompanied with a lack of KG and vestibular depth. Case was managed with a vestibuloplasty and free gingival graft. This was also accompanied by plasty of the implant and abutment surface. Photos show final healing at 4 months. First premolar had also been replaced with an implant.

This patient presented with a provisional on implant #9. Tissues had some recession along with a large horizontal volume deficiency. Case was managed with a tunnel approach using microsurgical blades and connective tissue graft. This was combined with contour management of the provisional. Photos show final soft tissues and implant crown in place.