Abstract:

This case report aims to present a modified mucogingival approach for immediate implant placement in a 70-year-old female patient with Stage III, Grade A periodontitis. The patient’s thin gingival phenotype and thin buccal bone wall posed significant challenges for standard flapless implant placement.
The approach combined a unilateral buccal flap design, connective tissue grafting, regenerative techniques, and prosthetic guidance to achieve gingival augmentation and precise implant positioning. The method resulted in the successful restoration of horizontal tissue volume, an increased height of keratinized mucosa, coronal repositioning of the mucosal margin, and stable peri-implant bone levels.

Keywords: immediate implant placement, connective tissue graft, mucogingival approach