Soft tissue management in bone grafting

Soft tissue management has a great influence on the success of bone grafting procedure. According to Prof Fouad Khoury’s clinical philosophy, successful bone augmentation requires impeccable soft tissue management. 

The care and preservation of existing soft and hard tissue is essential for aesthetically appealing implantology for prosthetic purposes. In many cases where tissue cannot be preserved, functional and aesthetic results in bone augmentation are not possible without the combination with corresponding soft tissue management. A preoperative aesthetic analysis is recommended in almost all cases to ensure that the implant is positioned anatomically correctly and in an optimal manner relative to the adjacent teeth and soft tissue. Soft tissue management is therefore decisive in all surgical interventions for the overall results of augmentative treatment. 

Soft tissue management in bone augmentation 

Soft tissue management is a very important factor for bone augmentation for the following reasons:


  1. for the primary safety of the procedure
  2. for the aesthetic results in the anterior area, since bony defects are also combined with poor soft tissue quality
  3. for function, reducing the muscle activity around the grafted bone and the implants
  4. for the long term stability of the defensive results 

Primary, tension-free wound closure is necessary in augmentation procedures – bone grafts or GBR- and is a decisive prerequisite for the bacteria-free healing of the grafts as well as for the successful treatment. 

Gingiva quantity and quality are important factors, not only for goos primary healing of the grafted bone to reduce the risk of tissue necrosis and graft exposure, but also for the long term stability of the grafted area. In many cases it is important to improve the quality and quantity of soft tissue before a bone grafting procedure. 

The incision, the flap design, wound margin management and suturing techniques have to be carefully considered in order to optimise flap healing and transplant receptivity and reduce scarring especially in the aesthetic area. 

Autogenous bone augmentation and associated Soft tissue management course

with Prof Khoury’s clinic partner, Dr Thomas Hanser

27-28th October 2023, London

Soft tissue course with Dr. Parvini

Master the Khoury technique from the original source, Dr Thomas Hanser, Deputy Director and clinical partners with Prof Fouad Khoury at clinic Scloss Schnellenstein.

The course will cover biology of bone regeneration, diagnostic and treatment planning, safe bone block harvesting and predictable grafting procedures demonstrated and practiced by the participants step-by step on sheep jaws.

As soft tissue management has a great influence on the success of the grafting procedure, the second day will cover hands-on soft tissue management. Learn aesthetic, functional and protective aspects in context of all stages of implant therapy to improve the soft tissue quality and quantity.

Learn how soft tissue grafts, minimally invasive approaches, and tension-free soft tissue closure are playing an important role to reduce complications and to achieve long-term tissue stability in three-dimensional reconstruction procedures.

About the Speaker


Clinic partners with Fouad Khoury at Schloss Schellenstein in Germany

Oral Surgeon, MSc Periodontology, MSc Implantology – German Association of Periodontology (DGParo)


  • Deputy Director at the International Dental Implant Centre (Chairman: Prof F. Khoury), Olsberg, Germany
  • Co-Author with Prof Fouad Khoury: Bone and Soft Tissue Augmentation in Implantology (2021 and 2009) Quintessence Textbooks
  • Senior Academic Advisor and Adjunct Professor at Goethe-University Frankfurt

What will you learn?

  • In-depth information not only on the underlying scientific concept and autogenous bone augmentation techniques but also the associated Soft Tissue Management
  • Learn safe techniques of extracting bone blocks from the molar area.
  • Understand the methods of collection, preparation and optimisation of autologous grafts.
  • Familiarise yourself with the principles of the Khoury technique
  • Get a better understanding of predictable, long-term and stable horizontal and vertical bone block augmentation.
  • Explore innovative techniques for closing soft tissues at the site of augmentation in order to avoid postoperative complications.
Hands-on training on sheep jaws
Soft Tissue management course in London
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