Abstract
Peri-implant soft tissue deformities are an increasingly common phenomenon in the esthetic zone. While the most widely studied esthetic complications are peri-implant soft tissue dehiscences, there are other esthetic concerns in routine clinical practice that require investigation and treatment. Against this backdrop, this report on two clinical cases aimed to describe a surgical approach using the apical access technique for treatment of peri-implant soft tissue discoloration and fenestration. In both clinical scenarios the defect was accessed via a single horizontal apical incision, without removing the cement-retained crowns. A bilaminar technique using apical access with a simultaneous connective tissue graft seems to offer promising results for the treatment of peri-implant soft tissue deformities. After the 12-month reevaluation, an increase in peri-implant soft tissue thickness was observed, resolving the pathologies presented.
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