Vimeo link to the recorded presentation

Synopsis

Soft tissue grafting has evolved from effective but invasive techniques to current minimally invasive, patient-friendly tunnel procedures. Palatal donor tissue and vertical incisions are no longer necessary for root coverage grafting, resulting in not only a better postoperative course, but also greater root coverage and better esthetics. Now, similar techniques can be applied to treat some soft tissue deficiencies at implant sites, avoiding more complex “start-over procedures.” Surgical technique and indications for treatment will be illustrated with case examples.

Learning objectives

• Describe how the tunnel technique can be used in sites with minimal keratinized tissue, aberrant frenal attachment, and shallow vestibule.
• Describe the indications for use of an allograft in the tunnel technique for soft tissue grafting at implant sites.
• List the special pre-surgical and surgical considerations unique to soft tissue problems involving implants.
• List the limitations of the tunnel technique at implant sites.