Ann Clin Med Res | Volume 2, Issue 2 | Research Article | Open Access

Surgical Management of Peri-Implant Soft Tissue: A Decision Tree

Alessandro Pedercini1 *, Chantal Pedercini2 , Ioannis Kormas1 , Venkata Parachuru1 and Larry F Wolff1

1 Department of Developmental and Surgical Sciences, Division of Periodontology, School of Dentistry, University of Minnesota, Minneapolis, USA 2 Department of Oral Surgery, Vita-Salute San Raffaele University, Milan, Italy

*Correspondance to: Alessandro Pedercini 

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Clinical classifications of the main mucogingival conditions around natural teeth and their treatments are largely reported in the literature. With the increased use of dental implants, peri-implant soft tissue complications may also be encountered. However, there is lack of information regarding the most appropriate treatment methods for soft tissue deficiencies around dental implants. This narrative review discusses the various clinical situations where soft tissue grafting at implant sites is required. A review of all available literature was performed and a decision tree for soft tissue grafting around implants was developed. The purpose is to provide a general guidance for clinicians in selecting the appropriate treatment for the management of peri-implant soft tissue deficiencies. The decision tree takes into consideration the aim of the treatment and illustrates different techniques according to the most recent literature. Furthermore, considerations on etiological factors for periimplant soft tissue deficiencies are discussed. To the knowledge of the authors, there is no other manuscript that proposes surgical management of peri-implant soft tissue deficiencies at different stages of implant therapy.


Connective tissue; Dental implants; Esthetics; Dental; Oral surgical procedures; Periodontics


Pedercini A, Pedercini C, Kormas I, Parachuru V, Wolff LF. Surgical Management of Peri-Implant Soft Tissue: A Decision Tree. Ann Clin Med Res. 2021; 2(2): 1023..

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