Roll Flap Technique for Anterior Implant Esthetics

Abstract

The long-term clinical and esthetic success of implant-supported restorations is determined by osseointegration and optimal remodeling of peri-implant soft tissues. Complications of soft-tissue management are often caused by fibrotic regeneration of oral mucosa after multiple surgical procedures. Knowledge of the proliferative processes in wound healing is necessary to attain adequate soft-tissue conditions. Successful reconstruction of peri-implant soft tissues is feasible even in fibrotic conditions when appropriate surgical techniques are selected. Several surgical techniques may be applied to obtain an adequate emergence profile of the restoration with sufficient keratinized gingiva. Improvement of the clinical situation and esthetics can be achieved with a roll flap technique for closure of the defect. The advantage of this technique is the perfect blending with the surrounding tissues.