Just this morning we performed a surgery where we rebuilt the dental ridge and used Transalveolar Suturing to help preserve the attached gum tissue around our dental implant sites. I first saw this presented at the Pikos Institute bone grafting course a number of years ago and we have used it ever since. The idea is simple; a hole is made through the dental ridge at the surgical sites and a suture is passed through the bone to tack down the tissues to hold them in place during initial healing so swelling and muscle movements do not cause the tissue to heal in the incorrect place.
I remember back in the 80s using a denture or other prosthesis and wiring it or suturing it in place to hold the tissue or a graft. That was a good technique at the time, but now it looks barbaric. Bone tacks and Transalveolar Sutures will soon be replaced by resorbable bone anchors (which already exist, but are still a little costly). The suturing technique is tedious to do, but it gives great results and is not painful nor does it create any disability. To the contrary, it results in great tissue contours and the increased tissue stability during healing gives increased comfort.

If you have questions, call Wagner Oral Surgery and Dental Implant Specialists at (262) 634-4646 to learn more.