Initial situation: referral for an immediate restoration due to root remnants which were not worth preserving. After removal of the root and cleaning of the alveolus, bone replacement material was inserted to stabilize the facial lamella.

A CAMLOG^© PROGRESSIVE-LINE Implant was placed prosthetically oriented into the palatal alveolar wall. At over 30 Ncm, primary stability was sufficient for the planned immediate restoration.

To thicken the vestibular mucosa and achieve attached soft tissue, NovoMatrix™ was cut to fit the defect size.

Using the crestal access, a pouch was prepared up to the mobile mucosa without a vertical incision. The NovoMatrix™ was pierced and pulled into the cavity using a suture.

The tear-resistant matrix was fixed deep in the vestibulum with a button suture and adapted to the alveolar bone. A gingiva former supported the tissue up to insertion of the temporary immediate restoration.

Four weeks after the surgical procedure, the peri-implant tissue was stable and the surgical site had almost completely healed. The definitive, palatally screw-retained hybrid abutment crown could be placed.

Initial situation: Miller Class I recessions at teeth 23 and 26 with a small band of functional attached soft tissue.

A tunnel was prepared by separating the gingiva from the bone in form of a mucoperiosteal flap following intra-sulcular inci­sions. The preparation was extended beyond the muco­gingival border.

Following a sharp cut through the periosteum at the base of the flap, the NovoMatrix™ was cut into shape and inserted into the prepared tunnel.

The NovoMatrix™ was brought into the final position and it was checked whether the flap could be placed tension-free over the NovoMatrix™ and the recession. In contrast to a free connective tissue graft, the NovoMatrix™ must be covered completely.

The mucoperiosteal flap was shifted coronally and the matrix was covered completely. Sling sutures were used to relieve tension and close the surgical site.

The situation after seven weeks: complete coverage of there­cessions and a significant widening of the functional, attached soft tissue.

After completion of carcinoma therapy, the image showed a severely atrophied jawbone in regions 34 to 36 and 46 and 47 due to unphysiological loading caused by a poorly fitting telescopic prosthesis.

The surgical site was exposed by means of a mid-crestal incision to minimize the risk of compromising subsequent blood supply. Preparation of a mucoperiosteal flap was followed by detaching the superficial fibers of the mylohyoid muscle.

Two implants were inserted in regions 46 and 47. To achieve a significant increase in soft tissue, the NovoMatrix™ was applied doubly. It was perforated in the area of the implants and fixated with 6 mm high gingiva formers.

The surgical site was closed tension-free over the gingivaformers. Twenty days after the surgical procedure the sutures were removed. A significant thickening of the alveolar ridge and a wide attached gingiva were observed.

After nine weeks the NovoMatrix™ was revascularized. The stable peri-implant soft tissue had been anatomically shaped to accommodate insertion of a long-term temporary bridge restoration on the COMFOUR® Abutments.

The esthetic analysis showed no dyschromia when compared with the surrounding tissue. The attached soft tissue growth around the implants is clearly visible on the natural teeth when compared with the keratinized gingiva.