Duration: 5 minutes, 14 seconds

Author: Dr. Sascha A. Jovanovic

SubEpithelial Connective Tissue Harvest to Boost Gingival Biotype for Anterior Single Tooth Implant

SubEpithelial Connective Tissue Harvest to Boost Gingival Biotype for Anterior Single Tooth Implant


The subepithelial connective tissue harvest technique is widely used in dentistry to improve the gingival biotype for an anterior single tooth implant. This article explores the benefits and procedure of this technique, providing valuable insights for dental professionals.

1. Understanding Gingival Biotype

Gingival biotype refers to the thickness and morphology of the gingiva surrounding a tooth. It plays a crucial role in achieving optimal esthetics and long-term stability of implants. There are two main types of gingival biotype: thick and thin. Understanding the patient’s gingival biotype is essential for implant treatment planning.

1.1 Thick Gingival Biotype

In patients with a thick gingival biotype, the gingival tissue tends to be firm and dense. It provides better implant support and has a higher resistance to recession. Thick biotypes are commonly found in individuals with good oral hygiene and a strong periodontal phenotype.

1.2 Thin Gingival Biotype

Patients with a thin gingival biotype have delicate and fragile gingival tissue. They are more prone to recession and esthetic complications. Thin biotypes are often seen in individuals with poor oral hygiene and a weak periodontal phenotype.

2. The Role of SubEpithelial Connective Tissue Harvest

The subepithelial connective tissue harvest technique is a surgical procedure that involves the transplantation of connective tissue from a donor site to create a thicker gingival biotype around the implant area. This technique helps to enhance the esthetic outcome and improve the long-term stability of the implant.

3. Procedure

The subepithelial connective tissue harvest procedure typically involves the following steps:

3.1 Patient Evaluation

Prior to the procedure, a thorough evaluation of the patient’s gingival biotype, oral health, and medical history is conducted. This helps in determining the appropriateness of the technique and identifying any potential risks or contraindications.

3.2 Donor Site Selection

A suitable donor site is chosen, usually from the patient’s palate or nearby area. The donor site should have an adequate supply of connective tissue to ensure successful grafting.

3.3 Harvesting of the Connective Tissue

The selected donor site is anesthetized, and a small incision is made to expose the connective tissue. The connective tissue is carefully harvested, ensuring minimal trauma and preserving its integrity.

3.4 Preparation of the Recipient Site

The area where the connective tissue will be transplanted is prepared by creating a recipient site. This involves making an incision in the gingiva and creating a space for the connective tissue graft.

3.5 Graft Placement

The harvested connective tissue is then placed into the prepared recipient site and secured using sutures. Care is taken to ensure proper positioning and adaptation of the graft.

3.6 Post-operative Care

Patients are provided with post-operative instructions, including guidelines for oral hygiene and dietary restrictions. They may also be prescribed medications to manage pain and prevent infections. Regular follow-up visits are scheduled to monitor the healing process.

4. Benefits of SubEpithelial Connective Tissue Harvest

The use of subepithelial connective tissue harvest technique offers several benefits, including:

4.1 Improved Gingival Biotype

The technique allows for the creation of a thicker and more robust gingival biotype, which enhances the esthetic outcome of the implant and provides better support.

4.2 Reduced Risk of Gingival Recession

By augmenting the gingival tissue thickness, the risk of recession around the implant area is minimized. This helps in maintaining the long-term stability of the implant and avoiding esthetic complications.

4.3 Enhanced Esthetics

A thicker gingival biotype improves the overall esthetics of the implant restoration by preventing the grayish appearance of the underlying implant metal.

4.4 Increased Implant Survival Rate

Studies have shown that implants placed in sites with an enhanced gingival biotype have a higher survival rate compared to those without connective tissue augmentation.

5. Conclusion

The subepithelial connective tissue harvest technique is a valuable tool in improving the gingival biotype for anterior single tooth implants. It offers esthetic and functional benefits, ensuring long-term stability and patient satisfaction. Dental professionals can learn more about this technique by visiting the website mentioned, www.guidedental.com.


1. Can anyone undergo the subepithelial connective tissue harvest procedure?

Not everyone is a suitable candidate for this procedure. A thorough evaluation by a dental professional is necessary to determine the appropriateness of the technique for each individual.

2. Is the subepithelial connective tissue harvest procedure painful?

The procedure is performed under local anesthesia, ensuring that patients experience minimal discomfort during the surgery. However, some post-operative pain and swelling can be expected, which can be managed with prescribed medications.

3. How long does it take for the graft to heal?

The healing time can vary from patient to patient. On average, it takes around 2 to 3 weeks for the graft to fully heal. Regular follow-up visits with the dental professional are essential to monitor the healing progress.

4. Are there any potential risks or complications associated with the procedure?

As with any surgical procedure, there are potential risks and complications involved. These may include infection, bleeding, allergic reactions, graft failure, and compromised esthetic outcomes. However, with proper evaluation and technique, the risks can be minimized.

5. Are there alternative techniques to improve gingival biotype for implants?

Yes, there are alternative techniques available, such as free gingival grafts and guided tissue regeneration. The choice of technique depends on various factors, including the patient’s specific needs and the dentist’s expertise.

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