The “Washing Line” Suture Technique for Securing the Subepithelial Connective Tissue Graft

Abstract

Following tooth extraction, resorption of the buccal wall of the socket will occur; this will be true for both the maxilla and the mandible. Where the extraction site is surrounded by natural dentition, the loss of the buccal alveolar plate can degrade the visual aesthetics of an implant-supported prosthetic rehabilitation. To aid the harmonization of the hard and soft tissue morphology, both hard and soft tissue augmentation can be carried out either consecutively with an extraction/immediate implant placement or prior to an implant placement in the delayed scenario. The contemporary method of increasing soft tissue volume is to use the Subepithelial Connective Tissue (auto) Graft (the SCTG). The graft requires fixation, otherwise it can be extruded from the recipient site. This article presents a novel suturing technique which can confidently secure the SCTG, thus resisting its dislodgement.

Analysis of Soft and Hard Tissue Changes Following Immediate Implant Placement in the Esthetic Zone Using Bone and Connective Tissue Grafting (A Comparative Randomized Clinical Study)

“…This difference in the pattern of the resorption producing a reverse horizontal overlap of the residual crests leading to changing in the maxilla/mandible relationship. 2 This physiological hard and soft tissue changes that occur after extraction often makes deformities in the alveolar ridge making ideal restoration with proper function and aesthetics is not an easy case . 3 Therefore, the idea of immediate implant placement was created to decrease the time period between extraction and implant placement.…”