A Novel Method to Cover Metal Display in Implants Using a Modified Free Gingival Graft: A Case Report

INTRODUCTIONCorrection of an esthetic failure in the anterior esthetic zone is difficult, especially after placement of the final restoration. This case report describes a novel technique to cover metal display with a graft that combines the advantages of the free gingival and the subepithelial connective tissue grafts. CASE PRESENTATIONA patient presented to the author's private practice with marked metal display leading to compromised esthetics. To cover the metal display, it was decided to increase the amount of soft tissue surrounding the implant. A free gingival graft was obtained from the palate with two de-epithelialized extensions to ensure adequate blood supply and excellent color match. The graft was adapted to the recipient site, which included a previously prepared bed and two pouches. The pouches accommodated the de-epithelialized extensions. The clinical outcome exhibited superior results in both volume and quality of the gained soft tissue. CONCLUSIONThe technique described in this case report could be considered as a method to cover metal display in the esthetic zone to improve the volume and quality of the tissue.