Immediate implant placement, reconstruction of compromised sockets, and repair of gingival recession with a triple graft from the maxillary tuberosity: A variation of the immediate dentoalveolar restoration technique

The four‐layer graft technique, a hard and soft tissue graft from the tuberosity in one piece

“…While Stimmelmayr's technique is effective to enhance buccal gingiva, the present technique enhances osseous contour, augments palatal tissue and improves the stability of the interdental papilla by thickening the interproximal mucosa. Another technique has been described by Da Rosa to enhance both hard and soft tissues . Despite the fact that this technique is indicated for immediate implant placement with an incomplete buccal plate, it is also indicated for immediate loading.…”

“…Another technique has been described by Da Rosa to enhance both hard and soft tissues. 24 Despite the fact that this technique is indicated for immediate implant placement with an incomplete buccal plate, it is also indicated for immediate loading. This can become a challenge when there is an incomplete buccal plate and attachment loss.…”

Atraumatic Extraction and immediate implant placement into infected site with the “ice cream cone” technique and L-PRF: A Case Report

“…Thus, other techniques have also been described for preserving the buccal contour, such as leaving a fragment of the buccal root portion in conjunction with the implant placement, as described by Hürzeler et al (13) or the threelayered tuberosity grafting technique described by Da Rosa. (14) Finally, opting for the flapless technique of an "ice cream cone" is guaranteed not to mobilize tissue or discharges or cause changes in gingival architecture. The regeneration of a bone contour was controlled with a clinical examination and a cone beam at 21 months after the implant was installed.…”

Reconstruction of the Alveolar Buccal Bone Plate in Compromised Fresh Socket after Immediate Implant Placement Followed by Immediate Provisionalization

“…After a 5‐ to 9‐year follow‐up, all 41 implants demonstrated stability of the soft and hard tissues. Recently published case reports have shown stability of the soft and hard tissues after IIP in compromised sockets after 2 years of follow‐up using a single combined approach involving soft and hard tissue grafts after implant placement …”

“…Recently published case reports have shown stability of the soft and hard tissues after IIP in compromised sockets after 2 years of follow-up using a single combined approach involving soft and hard tissue grafts after implant placement. 1,15 In an attempt to improve clinical efficacy, increase patient acceptance, allow faster restoration of function, minimize treatment time, and reduce bone resorption over time, a single-stage technique protocol was employed, utilizing autogenous bone and soft tissue grafts harvested from the maxillary tuberosity to restore peri-implant buccal bone defects after IIP followed by immediate function of the crown.…”