# Vestibuloplasty and Implant in One Surgery: A Modern Approach

URL: https://dloralsurgery.com/blog/kazanjian-vestibuloplasty-dental-implant/

October 16, 2013

**2013** year

**12** photographs

In

[Clinical Cases](https://dloralsurgery.com/blog/category/clinical-cases/) [Soft Tissue](https://dloralsurgery.com/blog/category/soft-tissue/)

[All cases](https://dloralsurgery.com/blog/)

![Vestibuloplasty and Implant in One Surgery: A Modern Approach](https://dloralsurgery.com/fotos/2013/10/071.jpg)

We’re presenting a technique that combines **vestibuloplasty and implant in one surgery**. This approach allows clinicians to address soft tissue and implant placement in a single step, improving outcomes and patient comfort.

### Revisiting the Kazanjian Vestibuloplasty

Kazanjian vestibuloplasty was developed over 100 years ago by Dr. Varaztad Kazanjian. The method was intended for edentulous patients with mobile full dentures. It involved removing the muscular layer between the mucosa and periosteum to gain vestibular depth.

Today, it’s regaining relevance in implant surgery, especially when soft tissue conditions are poor.

📎 [Learn more about Dr. Kazanjian](https://en.wikipedia.org/wiki/Varaztad_Kazanjian)

### Clinical Case: Soft Tissue and Implant in One Step

This patient came to us with an implant in position 36. To complete a bridge over 34–35–36, we needed to place an implant in position 34.

Soft tissue quality was insufficient. Instead of a conventional crestal approach, we performed a **modified Kazanjian vestibuloplasty**. This allowed us to gain keratinized gum and vestibular depth while placing the implant.

### Benefits of One-Stage Vestibuloplasty and Implant Placement

This single surgical approach enabled us to place the implant and improve soft tissue conditions simultaneously—avoiding future surgeries.

🔗 See more cases on soft tissue optimization

Below, you’ll find intraoperative photos and healing progress at 10 days post-op.

![vestibuloplasty and implant in one surgery](https://dloralsurgery.com/fotos/2013/10/012-1024x683.jpg)

![vestibuloplasty and implant in one surgery](https://dloralsurgery.com/fotos/2013/10/021-1024x683.jpg)

![vestibuloplasty and implant in one surgery](https://dloralsurgery.com/fotos/2013/10/031-1024x683.jpg)

![vestibuloplasty and implant in one surgery](https://dloralsurgery.com/fotos/2013/10/041-1024x683.jpg)

![vestibuloplasty and implant in one surgery](https://dloralsurgery.com/fotos/2013/10/051-1024x683.jpg)

![vestibuloplasty and implant in one surgery](https://dloralsurgery.com/fotos/2013/10/061-1024x683.jpg)

![vestibuloplasty and implant in one surgery](https://dloralsurgery.com/fotos/2013/10/071-1024x683.jpg)

![vestibuloplasty and implant in one surgery](https://dloralsurgery.com/fotos/2013/10/001-1024x683.jpg)

![vestibuloplasty and implant in one surgery](https://dloralsurgery.com/fotos/2013/10/081-1024x683.jpg)

[← Previous case **Epithelial Free Graft for Peri-Implantitis Cases: Clinical…**](https://dloralsurgery.com/blog/epithelial-free-graft-in-patients-with-perimplantitis/) [Next case →**Live Surgery Course: 3D Reconstruction and Sinus Lift**](https://dloralsurgery.com/blog/live-surgery-course-finished/)

By your side, in every case

## Shall we talk about a case?

We are here to help you with complex diagnoses and advanced treatments.

[Clinical cases](https://dloralsurgery.com/blog/) [Our team](https://dloralsurgery.com/team/) [Training](https://dloralsurgery.com/training/) [Online appointment](https://dloralsurgery.com/online-appointment/)