Oral soft tissue thickening or grafting procedures are often necessary to cover tooth recession, re-establish an adequate width of keratinized tissue, correct mucogingival deformities improvingesthetics, prepare a site for an implant or prosthetics, for ridge preservation procedures, and soft tissue contouring around dental implants. Gingival recession and root or implant exposure are commonly associated and have led to mucogingival deficiencies that have traditionally been treated with free gingival grafts and autogenous soft tissue grafts. Pouch roll implant soft tissue augmentation provides an easy and less traumatic correction of a mild or moderate buccal ridge deficiency by thickening the soft tissue around the dental implant. This review presents modified tissue augmentation techniques which are proposed to enhance aesthetics in mild or moderate horizontal defects ; however, the choice of therapy depends on the dimensions and position of the defect.
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