EAS Publisher | Roll Flap Technique and Implant Placement: A Case Report

Roll Flap Technique and Implant Placement: A Case Report

DOI : https://doi.org/10.36349/easjdom.2025.v07i04.003

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After tooth loss, the alveolar ridge collapses. Tooth absence often involves defects in soft tissue and hard tissue thickness. Localized defects in alveolar ridge are often found in partially edentulous patients. Soft tissue augmentation procedures have been developed. This case study presents a 50-year-old female patient who sought rehabilitation of a missing maxillary fisrt premolar (tooth 24) lost due to trauma. After diagnosing periodontal health and confirming the absence of tooth 24 through clinical and radiographic examinations, a comprehensive treatment plan was developed. The initial periodontal phase involved biofilm control and mechanical debridement, followed by a re-evaluation after two weeks, confirming periodontal health. The surgical phase included soft tissue management using the roll-flap technique after guided implant placement using a Straumann Bone Level Tapered implant (4.1mm x 10mm). A provisional restoration was placed to sculpt the emergence profile over four months. The technique resulted in excellent implant stability, that improved gingival thickness and contour.

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