Soft tissue augmentation is an essential component of modern implant therapy, contributing to peri-implant health, tissue stability, and esthetic integration. Adequate soft tissue thickness, sufficient keratinized mucosa, and a favorable mucosal phenotype help improve plaque control, reduce inflammation and recession, and support long-term peri-implant stability. Proper assessment of peri-implant anatomy, tissue biology, vascularization, and prosthetic requirements is essential for selecting appropriate techniques. Connective tissue grafts, free gingival grafts, pedicle flaps, roll flaps, tunnel procedures, VISTA, and microsurgical approaches provide predictable solutions for soft tissue deficiencies. Emerging biomaterials, growth factors, tissue engineering, and three-dimensional bioprinting may further enhance outcomes while reducing patient morbidity.
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