Rotational Flap to Enhance Buccal Gingival Thickness and Implant Emergence Profile in the Esthetic Zone: Two Cases Reports

Mohammed Jasim AL-Juboori*
Department of Periodontology, Al-Rafidain University College, Baghdad, Iraq.

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© 2017 Mohammed Jasim AL Juboori.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Department of Periodontology, Al-Rafidain University College, Palestine Street, P.O Box 46036, Baghdad, Iraq; Tel: (+964)7714559551; E-mail:



Many techniques have been developed to enhance the gingival thickness, gingival level and emergence profile around the implant in the esthetic zone.


In this study, a buccal rotational flap was used to improve the implant site in the esthetic zone and increase gingival tissue thickness.


Two cases involved the use of a rotational flap during second-stage implant surgery, one case involved the use of a temporary crown with a healing abutment, and another case involved the use of a healing abutment.


The cases were followed up until the final crown was placed. The implant site was improved in 2 cases; the gingival thickness increased, the gingival level was enhanced and the emergence profile was developed.


Many factors affect the results of a rotational flap; some factors are surgical, while others are prosthetic, biological and anatomical.

Keywords: Esthetic zone, Gingival level, Emergence profile, Soft tissue, Flap.