Monday, May 6, 2013

Implant Troubleshooting Advice by Dr. Sam Jain-Loss of gum due to laser: does this case need a gingival graft?


Loss of gum due to laser: does this case need a gingival graft?

anterior
I have exposed an implant with a laser in an anterior case where keratinised gingiva seemed abundant. When I placed the healing collar, the buccal gingiva was very thin and now it is gone. I had put the cover screw on and the patient is under observation. Do you think now that the healing screw is off the tissue will grow back or does this case need a gingival graft?
Implant Troubleshooting Advice by Dr. Sam Jain
Sam Jain DMD says:
I think it would be better to bury the implant instead of removing the implant. Put cover screw, deepithelial the soft tissue. Take molt and scrape off epith from max tub crestal tissue and then take out the entire thickness of tissue and put it like a wedge in the cleft.
And then crown and bridge at NO CHARGE. Inform px of YOUR mistake/irresponsible behavior.
And life moves on.
Sam Jain, DMD
Fremont implant dentist



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