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Volume 43 , Issue 1
January/February 2023
Pages e11–e18

Modified Suture Technique for Stabilization of Connective Tissue Graft in Immediate Implant Placement and Provisionalization: A Short Technical Report

Miaozhen Wang, DDS/Yalin Zhan, PhD/Feng Liu, DDS

DOI: 10.11607/prd.4909

Immediate implant placement and provisionalization with subepithelial connective tissue graft is considered the reference therapy for achieving a good esthetic outcome, especially in cases with a thin periodontal phenotype. Positioning sutures are usually required to maintain graft stability. This article describes the use of a modified suture technique involving vertical/horizontal double-parallel mattress sutures in immediate implant placement to achieve stable passive fixation of the graft in the appropriate position and to provide a more equal distribution of tension in the wound. A novel, simplified, reproducible technique is described in two cases of immediate implant placement and provisionalization with subepithelial connective tissue grafting and double-parallel mattress sutures.

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