Immediate Implant Placement with Modified Palatal Roll

This case involves the Immediate implant placement of implants in #12 and #13 (recurrent caries) followed by a modified palatal roll for buccal contour augmentation. The case highlights an aspect of implant dentistry that often gets overlooked, namely the restoration of the buccal contour. The modified roll technique shown in this video was described by Tarnow and Scharf (Int J Periodontics Restorative Dent . 1992;12(5):415-25) and involves a partial thickness flap on the palatal, separation of the connective tissue from the palatal while still maintaining it’s attachment to the buccal tissue, and finally tucking of the pedicle beneath the buccal tissue to augment the soft tissue. All of the steps detailed above are covered in the video, as well as the post-op photographs showing the final results and restoration.