The Palacci Flap in 3D
So you’ve placed your implant and healing abutment. Now you have to reposition the soft tissue.
The hard work is not done.
You’ll soon realize, that it’s difficult to obtain primary closure, especially since you now have a healing abutment to suture around.
You could try to suture as much as you can, but most of your healing will be obtained via secondary intention (blood clot/granulation tissue).
This is less reliable, especially in aesthetic cases where you want to predictably reposition the final papilla.
Ideally, what you want is to directly re-approximate the buccal and lingual flap edges together.
The Palacci Flap.