Simultaneously Modified Onlay Soft Tissue Graft and Apically Positioned Flap for Implant Phenotype Modification: Case Reports.

Document Type

Article

Publication Date

3-1-2026

Publication Title

International Journal of Periodontics & Restorative Dentistry

Abstract

Bone augmentation procedures often lead to coronal displacement of the mucogingival junction, a deficiency of keratinized mucosa, and a reduction in soft tissue height. These challenges complicate the achievement of an ideal peri-implant phenotype. It is known that addressing both the quantity and quality of soft tissue is crucial for the long-term success and esthetics of implants. This report introduces a novel technique for peri-implant phenotype modification following bone augmentation, which combines a modified onlay graft (MOG) with an apically positioned flap (APF) performed simultaneously with implant placement. Two clinical cases are presented to demonstrate this approach, highlighting the restoration of the soft tissue environment through a single surgical intervention. The technique resulted in successful outcomes, including increased vestibular depth, keratinized tissue width, and vertical soft tissue volume. The MOG technique effectively manages soft tissue in post-bone augmentation scenarios, providing an ideal peri-implant phenotype and leading to stable, esthetic, and functional implant restorations. This method requires fewer surgical interventions than traditional alternatives, minimizing patient discomfort and enhancing overall treatment outcomes.

First Page

217

Last Page

231

Volume

46

Issue

2

Publisher

Quintessence Publishing Company Inc.

Rights

© 2026 by Quintessence Publishing Co Inc.

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