Alloderm #19 Implant Final Before and After Photos: advice?

A new patient came to my office with previously placed #19 and needed uncovering and restoration. On examination lack of keratinized tissue was noted. I received some great advice here on how to proceed in using Alloderm (human acellular dermis). It was not difficult to work with and I was pleased with the results. I would never have any interest in using it for traditional periodontal surgery for recession, but I will incorporate it when needed in implant cases with deficient soft tissue.

The Alloderm was sutured in place in the traditional manner by suturing to patients tissue and I also used a tissue punch to place a hole so I could place the healing abutment over it. Please feel free to critique and offer any advice on how I can improve future cases and outcomes for my patients. Thanks.








> Note: Alloderm is a type of human acellular dermis, used for soft tissue applications. It supports tissue regeneration by allowing rapid revascularization, white cell migration and cell population. Matrix IQ another aceullar dermis, has an additional benefit of having No “Basement Membrane”, allowing it to be placed on either side.

Learn More

4 Comments on Alloderm #19 Implant Final Before and After Photos: advice?

New comments are currently closed for this post.
Don Callan
7/19/2018
The implant was placed too sub gingival. The micro gap between the abutment and the implant is trapping anaerobic bacteria.
smile
7/19/2018
Thank, I agree. Looks like when previous dentist placed the implant he placed the implant too far below the lingual plate and probably did flapless placement with large tissue punch to cause or make defect worse. I did discuss this with patient and did not consider explantation but was happy with the quality of tissue that formed after the Alloderm augmentation and with Atlantis abutment and screw retained crown it should be able to be kept clean and no worry about cement.
Marcus
7/19/2018
Wow! What a buccal concavity! I can’t believe there isn’t a massive buccal bone dehiscence.
smile
7/24/2018
If you look at the uncovering image surprisingly there was not a buccal bone dehiscence which was what I was expecting.

Featured Products

OsteoGen Bone Grafting Plug
Combines bone graft with a collagen plug to yield the easiest and most affordable way to clinically deliver bone graft for socket preservation.
CevOss Bovine Bone Graft
Make the switch to a better xenograft! High volume of interconnected pores promotes new bone. Substantially equivalent to BioOss and NuOss.