PMID- 34726846 OWN - Quintessence Publishing Company, Ltd. CI - Copyright Quintessence Publishing Company, Ltd. OCI - Copyright Quintessence Publishing Company, Ltd. TA - Int J Oral Implantol (Berl) JT - International Journal of Oral Implantology IS - 2631-6439 (Electronic) IS - 2631-6420 (Print) IP - 4 VI - 14 PST - ppublish DP - 2021 PG - 351-365 LA - en TI - The coronally advanced flap technique revisited: Treatment of peri-implant soft tissue dehiscences FAU - Zucchelli, Giovanni AU - Zucchelli G FAU - Tavelli, Lorenzo AU - Tavelli L FAU - Stefanini, Martina AU - Stefanini M FAU - Barootchi, Shayan AU - Barootchi S FAU - Wang, Hom-Lay AU - Wang H CN - OT - connective tissue graft OT - dental implants OT - gingival recession OT - soft tissue augmentation OT - surgical flap AB - The coronally advanced flap technique is one of the most commonly used approaches for treating gingival recession. Several modifications of the technique have been proposed over the years, making it a highly predictable treatment option for gingival recession; however, as dental implants are structurally and biologically different from natural teeth, a further modification of the conventional coronally advanced flap technique has been suggested to overcome the challenges posed by the treatment of peri-implant soft tissue dehiscences. The present article aims to describe the state of the art of the technique at implant sites presenting with peri-implant soft tissue dehiscences, and highlight the main differences between this and the coronally advanced flap approach in natural teeth. The timing of crown removal and abutment modification/replacement are discussed, along with the different methods for management of the flap and connective tissue graft that are recommended at implant sites. The outcomes of this approach compared to the conventional coronally advanced flap technique, and other approaches are also presented. AID - 2246001