Fig. 2

Laterally rotated flap sequence. a Poor peri-implant soft tissue quality and volume. b A pediculated graft in prepared in the distal aspect of the distal implant. The receptor area is prepared on the buccal aspect of the distal implant. c Recipient bleeding and firm areas in both implants and pediculated flap prepared from the distal aspect. d Schematic illustration. The pediculated graft is laterally rotated 90° over the recipient site. e Recipient bleeding and firm areas in both implants and pediculated flap prepared from the distal aspect. f, g Pediculated flaps in passive position and without tension over the recipient sites. h Sutures. Frontal and occlusal view. i Twelve months follow-up