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

摘要

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. Int J Periodontics Restorative Dent 2023;43:e11-e18. doi: 10.11607/prd.4909