EC Dental Science

Patients seeking implant treatment are often periodontally compromised and present with insufficient bone and/or soft tissue volume to ensure predictable implant stability, function and restorative esthetics. Localized infections at the site(s) of planned tooth extraction typically form a layer of granulomatous and epithelialized tissue surrounding the area of the tooth root apex. This article describes the everted gingival pouch technique for making full use of this typically discarded tissue to pouch bone grafts as a barrier membrane, manage soft tissue, and achieve primary closure during a single surgery for tooth extraction and immediate implant placement. Two case examples are also presented.

 Keywords: Everted Gingival Pouch Technique; Minimally Invasive Approach; Primary Closure; Gingival Revitalization

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