I recently got an implant on one of my front tooth. I had a bone graft done, yet the doctor said it was difficult to get the perfect bone volume and my gums were thin. After having the flap opened 3 times, my gum has receded. I got the implant done, and the crown was made longer near my gums making it look unnaturally long especially when compare to the tooth on the opposite side. Is it possible to get a soft tissue graft over an implant/crown?
Answer: Gum grafts on implants are to thicken tissues Survival of grafts depends on blood supply. Since no bone is above an implant, adding height to the tissue is difficult. We can often thicken the tissues, but not make them taller. Might be worth a try, so ask a periodontist.
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Answer: Gum grafts on implants are to thicken tissues Survival of grafts depends on blood supply. Since no bone is above an implant, adding height to the tissue is difficult. We can often thicken the tissues, but not make them taller. Might be worth a try, so ask a periodontist.
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March 29, 2016
Answer: Gum graft around implants gum graft procedure around implants might not be successful in every case. the success will depend on the level of bone covering around the implant your implant seems to be placed forward and higher up compared to adjacent tooth. This is why the crown is longer. Also you can see a greyish colour shadowing around the crown. your implant was placed this way maybe because the bone available was still deficient in both vertical and horizontal dimensions. Gum graft will only help improve the grey shadowing around the implant. The crown length can not be modified. the only way that you could get the symmetry close to what you are looking for is to remove the implant. Graft the site and then place another implant. This bone grafting technique is doable but won't be easy. Might need multiple steps of bone and tissue grafting. see your dentist. There might be other options to improve you the aesthetics by combination of modifying the contours of the crown and gum graft.....
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March 29, 2016
Answer: Gum graft around implants gum graft procedure around implants might not be successful in every case. the success will depend on the level of bone covering around the implant your implant seems to be placed forward and higher up compared to adjacent tooth. This is why the crown is longer. Also you can see a greyish colour shadowing around the crown. your implant was placed this way maybe because the bone available was still deficient in both vertical and horizontal dimensions. Gum graft will only help improve the grey shadowing around the implant. The crown length can not be modified. the only way that you could get the symmetry close to what you are looking for is to remove the implant. Graft the site and then place another implant. This bone grafting technique is doable but won't be easy. Might need multiple steps of bone and tissue grafting. see your dentist. There might be other options to improve you the aesthetics by combination of modifying the contours of the crown and gum graft.....
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Answer: Soft tissue around implant It is difficult to add tissue height in your case. I would redo the crown with pink porcelain added around the tissue margin to achieve the symmetry you are looking for.
Helpful 1 person found this helpful
Answer: Soft tissue around implant It is difficult to add tissue height in your case. I would redo the crown with pink porcelain added around the tissue margin to achieve the symmetry you are looking for.
Helpful 1 person found this helpful
March 29, 2016
Answer: Gum graft over implant Hi there. That's a great question and yours is a very common scenario. Unfortunately, there is no way to graft the implant to achieve symmetry with the tooth in the other side. Also, implant removal and bone grafting won't achieve your desired results because the bone cannot be grown in a downward direction in this case. The reason for this has to do with unavailability of blood supply to keep the bone lower. This in turn cannot support gum growth in a lower direction to cover the tooth and give you that symmetry. The he planning could have been done at the time preceding the surgery, but I am sorry to report that at this time there isn't much more that can be done.
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March 29, 2016
Answer: Gum graft over implant Hi there. That's a great question and yours is a very common scenario. Unfortunately, there is no way to graft the implant to achieve symmetry with the tooth in the other side. Also, implant removal and bone grafting won't achieve your desired results because the bone cannot be grown in a downward direction in this case. The reason for this has to do with unavailability of blood supply to keep the bone lower. This in turn cannot support gum growth in a lower direction to cover the tooth and give you that symmetry. The he planning could have been done at the time preceding the surgery, but I am sorry to report that at this time there isn't much more that can be done.
Helpful
March 29, 2016
Answer: Gum graft over implant/crown It is possible to do a gum graft over an implant area. However the main goal of this type of procedure is to thicken the gum over the implant, not to cover the long crown. In this case there may be issues that can't be resolved with a gum graft. The implant looks like it was placed deep, likely due to bone volume issues, this may prove to be biologically difficult to remedy. Go back to your doctor to discuss the options, every case is different and without all the detailed information difficult to give you the best advise. Good luck!
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March 29, 2016
Answer: Gum graft over implant/crown It is possible to do a gum graft over an implant area. However the main goal of this type of procedure is to thicken the gum over the implant, not to cover the long crown. In this case there may be issues that can't be resolved with a gum graft. The implant looks like it was placed deep, likely due to bone volume issues, this may prove to be biologically difficult to remedy. Go back to your doctor to discuss the options, every case is different and without all the detailed information difficult to give you the best advise. Good luck!
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