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Case Report

Modified Roll Flap Soft-Tissue Augmentation at Single-Stage Implant Placement: A Digital-Scan–Verified Case Report

by
Kamen Kotsilkov
,
Hristina Maynalovska
* and
Zdravka Pashova-Tasseva
Department of Periodontology, Faculty of Dental Medicine, Medical University of Sofia, 1431 Sofia, Bulgaria
*
Author to whom correspondence should be addressed.
Dent. J. 2025, 13(10), 483; https://doi.org/10.3390/dj13100483
Submission received: 6 September 2025 / Revised: 4 October 2025 / Accepted: 16 October 2025 / Published: 21 October 2025

Abstract

Background and Objectives: Adequate peri-implant soft tissue dimensions are essential for health, hygiene, and esthetics. When ridge volume is sufficient, phenotype modification may avoid bone grafting. This case report describes a pedicled roll flap performed concurrently with single-stage implant placement after spontaneous socket healing, without bone substitute, and assesses soft-tissue stability with serial intraoral scans. Clinical case: A single-tooth edentulous site underwent prosthetically driven, fully guided implant placement. A modified roll flap with vertical and palatal incisions was prepared; the de-epithelialized crestal connective tissue was elevated and rolled into a buccal envelope to augment thickness. No graft material was used. A provisional crown conditioned the emergence profile. Follow-up included photographs, radiographs, and intraoral scan superimpositions at 2 weeks, 3–4 months, 8 months, and 14 months after implant treatment. Healing was uneventful. Buccal soft-tissue thickness increased, keratinized mucosa was preserved, and midfacial levels remained stable. Emergence profile and papillae integrated harmoniously. Crestal bone levels were stable radiographically. Digital scans corroborated soft-tissue thickness maintenance. No donor-site morbidity occurred. Conclusions: In healed sockets with adequate bone, a modified pedicled roll flap at implant placement can thicken the peri-implant phenotype and achieve stable esthetic integration without bone substitutes.
Keywords: dental implant; roll flap; soft tissue augmentation; soft tissue dimension maintenance dental implant; roll flap; soft tissue augmentation; soft tissue dimension maintenance

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MDPI and ACS Style

Kotsilkov, K.; Maynalovska, H.; Pashova-Tasseva, Z. Modified Roll Flap Soft-Tissue Augmentation at Single-Stage Implant Placement: A Digital-Scan–Verified Case Report. Dent. J. 2025, 13, 483. https://doi.org/10.3390/dj13100483

AMA Style

Kotsilkov K, Maynalovska H, Pashova-Tasseva Z. Modified Roll Flap Soft-Tissue Augmentation at Single-Stage Implant Placement: A Digital-Scan–Verified Case Report. Dentistry Journal. 2025; 13(10):483. https://doi.org/10.3390/dj13100483

Chicago/Turabian Style

Kotsilkov, Kamen, Hristina Maynalovska, and Zdravka Pashova-Tasseva. 2025. "Modified Roll Flap Soft-Tissue Augmentation at Single-Stage Implant Placement: A Digital-Scan–Verified Case Report" Dentistry Journal 13, no. 10: 483. https://doi.org/10.3390/dj13100483

APA Style

Kotsilkov, K., Maynalovska, H., & Pashova-Tasseva, Z. (2025). Modified Roll Flap Soft-Tissue Augmentation at Single-Stage Implant Placement: A Digital-Scan–Verified Case Report. Dentistry Journal, 13(10), 483. https://doi.org/10.3390/dj13100483

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