results from too posterior an incision as well as trismus.

9.  In situations where the mucoperiosteal tissues are extremely thick such as is often the case in the mandible where overretained periodontally teeth were finally removed degloving the tissues sometimes becomes necessary. With a sharp scalpel the submucosal tissues underlying the mucosal tissues in direct contact with the oral cavity are "scooped out" like one removes the grapefruit from its rind. With one hand the tissues are held firmly with a tissue forceps while underlying tissues are removed with a scalpel held in the other hand. Sometimes it becomes necessary to cut away the free ends of this excessively thickened tissue being sure to leave attached gingiva and not to cut beyond the muco-gingival junction.

10. When the cut tissues are brought around the protruding implant post, if they become too "bunched" instead of incising them which might result in too much unnecessary removal of the tissue, a special tissue punch can be easily utilized which will accurately remove a small circular area of the tissue which conforms in size and shape to the protruding implant post.

11. Clamping the soft tissues for any period of time should never be indicated at is will stop the circulating blood causing tissue necrosis which will greatly endanger proper and normal tissue healing.

12. Suturing the tissues closed should not follow the same pattern in all cases. It depends largely on the elasticity and mobility of the tissues at both sides of the incisions.

When the tissues are normal, simple surgical ties around the protruding posts as well as in between the posts are all that is necessary (1) .

Sometimes, these sutures are fortified with mattress sutures around the posts (2), sometimes between the posts (3) and some-times, when the tissues are severely scarred with little elasticity, they are first degloved (4) and then mattress sutures as well as

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