Darko Veljanovski,
Mihajlo Petrovski,
Kiro Papakoca

Introduction: Implant placement in the maxillary region presents unique surgical and prosthetic challenges due to high esthetic demands and the frequent presence of bone and soft-tissue deficiencies. The recently proposed mucogingival approach combines principles of regenerative and mucogingival surgery with implant placement to optimize peri-implant soft-tissue outcomes.Aim: The paper aimed to describe the surgical protocol and short-term clinical outcomes of three implant cases placed with the mucogingival approach in different clinical scenarios: early-delayed, delayed, and immediate placement.
Methods: Three patients with single-tooth edentulism in the maxillary region were treated with mucogingival approach, involving a split-full-split coronally advanced buccal flap, connective-tissue grafting, and prosthetic soft-tissue conditioning. All patients received transmucosal implants (TRI Octa, Switzerland).
Results: All implants osseointegrated successfully and maintained stable crestal bone levels at 6–12 months. The peri-implant mucosa exhibited satisfactory thickness, height, and papillary fill, with favorable esthetic outcomes.
Conclusion: The mucogingival approach is a versatile and effective technique for implant placement in the maxillary area, enabling simultaneous management of soft-tissue deficiencies and correction of adjacent mucogingival problems. Controlled clinical studies with longer follow-ups are warranted to further validate these findings.

 Key words: mucogingival approach, immediate implant placement, esthetic zone, soft-tissue augmentation, connective-tissue graft, coronally advanced flap

Address of correspondence:
Asst. Prof. Dr. Darko Veljanovski, Faculty of Medical Sciences,
Goce Delcev University, Stip, North Macedonia.
E-mail: darko.veljanovski@ugd.edu.mk

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