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Lack of keratinised mucosa or recession can be often problems encountered around dental implants. Apart from aesthetic implications, such muco-gingival problems might predispose to long term problems and inflammation. Whether to intervene surgically to correct or improve mucogingival conditions is not an easy decision and one needs to carefully assess the conditions, as often surgery has the risk of deteriorating the problem. One of the most critical diagnostic decisions is to confirm that the problem is mainly in the soft tissue and there is no underlying predisposition such as malposition of the implant or improper prosthetic design. In cases like these, intervention on the soft tissue without modifying the underlying problems might make things worse or fail to solve the problem in the medium/short term If the problem diagnosed is however limited in the soft tissue, the Hybrid CT-Epithelial graft is one of my prefered methods of action, as it is minimally invasive and ensures better healing conditions and can achieve both keratinisation and volume augmentation. As the actual technique might be difficult to fully comprehend by watching only clinical videos, today we have prepared for you a quick "explainer" video where you can see the full design of such a surgery. Then with a new eye, take a closer look how this is applied in the case of a peri-implantitis surgery: https://www.masterclassindentistry.co... PS: apologies for the ambulance at 3:40...! It is not a sound effect, just my office is next to the hospital!