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Rehabilitating a Compromised Site for Restoring Form, Function and Esthetics- A Case Report

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Background: Rehabilitating a compromised site in the maxillary anterior dentition is a challenging task. This case report describes an efficient technique combining the use of free gingival graft (FGG) and a subepithelial connective tissue graft (SCTG) for soft tissue augmentation in Class III ridge defect. Method: The surgical procedure consisted of a connective tissue “platform” retained over the edentulous space, facilitating stabilization and suturing of the grafts (FGG and SCTG). The buccal partial thickness flap was coronally advanced over the SCTG and sutured without tension with the palatal flap. Results: The procedure achieved good soft tissue volume and compensated the horizontal and vertical deficiency. Three months post augmentation prosthetic rehabilitation resulted in a highly satisfactory esthetic outcome with a good emergence profile. Conclusion: A single surgical procedure accomplished horizontal and vertical soft tissue augmentation. It resulted in good esthetic outcome in addition to restoring the form and function of a compromised site.