06/30/2025
There are usually not many complications associated with the use of autogenous , although sometimes we may need to address challenges ourselves.
Some possible complications include:
- Incomplete root coverage
- Infection
- Bleeding from the palate
- Significant pain beyond the norm due to early loss of palatal protection
- Suture tips poking the lip, which may cause painful aphthous-like ulcerations on the mucosa lining the lip
Management is always best achieved through prevention or by setting appropriate expectations for these issues whenever possible.
However, even with best practices, we may still need to manage one or more of the above complications.
In this case 👆, it appears that a small amount of composite was left on the root surface during preparation, blending closely with the root shade. The tissue never reattached to that biologically incompatible root surface.
Another important aspect of management is applying different techniques when needed—for example, a coronally repositioned flap to treat a single tooth without extending the flap to sites previously treated with connective tissue grafts (CTG).
No graft was added during the second surgery because the preexisting CTG had already integrated with the tissue of #11, allowing us to simply reposition the tissue coronally.
The CAF was performed according to the Zuchelli Split Full Split protocol and stabilized with a sling suture.
One month post-op, healing was excellent, and we anticipate a beautiful maturation of all sites moving forward.
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3 NEW 🥵 🔥 soft tissue management only courses Added on our website!!! December 2025 , April and August 2026! Make sure to check it out and grab your seats while we have early birds!! They will sell out!
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