In a live EAO session, renowned implantologist Ueli Grunder shared his extensive insights on soft tissue grafting in the aesthetic zone, focusing on lessons learned over the past 30 years. Grunder, who has been a pioneering figure in this field, discussed the critical role of soft tissue grafting in achieving long-lasting, aesthetically pleasing outcomes, particularly when working with implants.
One of the main points Grunder highlighted was the need for soft tissue augmentation in cases involving bone augmentation. While bone volume is often prioritized, soft tissue plays an equally crucial role in achieving the desired aesthetic result. Grunder emphasized that even when bone is augmented, the surrounding soft tissue may become thinner over time, leading to aesthetic issues such as tissue recession and shadowing around implants. This can be mitigated with proper soft tissue grafting, as demonstrated by his clinical cases.
Grunder also covered various clinical scenarios, such as using soft tissue grafting to overcome thin tissue biotypes, repair scar tissue, or compensate for tissue loss after implant placement. He discussed how immediate implants, especially in aesthetic zones, benefit from soft tissue grafts to create volume and contour that is vital for both function and appearance.
The session also touched on techniques and the importance of timing for soft tissue grafts. Grunder explained that in many cases, grafting should be done early during implant procedures, particularly in cases where immediate implants are placed. He also stressed that soft tissue grafting not only enhances aesthetic outcomes but also contributes to the long-term stability of implants.
Grunder concluded with a call to action for implant practitioners: "Learn how to do soft tissue grafting. It's a great procedure that helps achieve perfect results." His advice underscored the importance of mastering this skill to improve patient outcomes and elevate the standard of care in implant dentistry.