Un-Attached Gingiva Around Implants

[Dr Hugh]

I am unable to resolve these situations. This usually is a problem in the posterior mandible. I remember Dr Chen mentioned placing donut shaped attached gingiva grafts around implants but do not recall the exact protocol? What is the protocol?
What happens if you just leave it with un-attached gingiva?
Best Regards

[leonchen]

split-thickness the mucosa around the fixture 360*. In this case must leave periosteum so you can suture stabilize the graft donut

[Dr Hugh]

You need intact periosteum to graph attached gingiva. Makes sence. How do you split thickness un-attached gingiva flap? How do you stabalize the graph to the periosteum to complete atachment?

Best Regards

[Dr Hugh]

How do you suture to periosteum? I think this is a periodontist no brainer? GP here. Love to learn more!

Thanks

[Dr Hugh]

Google: periodontal textbooks online! I just bought 6 from Amazon.com.I have Misch and Garun. Six seminars for $870.00. I will study split thickness flaps. I will ask more studied questions. What are your favorite implant/perio management texts/atlases? This forum is the Chen/Cha atlas!

Life is Study and Study is an Art.

Thanks

[Dr Hugh]

These texts make it look so tedious? With Chen Tech/periodontist tech it becomes simple and clear! Thanks!!!

Nice surgery today! #s 10 & 11. Surgical extractions #s 10 and 11. Removed buccal plates to purchase extractions. Placed 3.5 and 4.5, impants latteral incisor+cuspid. Bulked out GBR/bone! Engadged ScrewPlants in retentive bone. Used HS for purchase site/twist drill site. . No skipping twist drill!!! Placed with pre step twist drills. Don,t use final step drill, to depth w/ a tapered implants! Primary closure VRF.

What a pleasure. What control!

[Dr Hugh]

Periodontal Surgery. A Clinical Atlas. by Naoshi Sato,DDS. This shows suturing to periosteum graphically and with fotos! And much more! Graphics are wonderful. Please continue this forum. Highest Regards...