The Harvesting Oblique Tuberosity (HOT) Technique: A Simplified Clinical Approach for Standardized Connective Tissue Graft Retrieval.
Benjamin Cortasse, Alexander De Greef, François Vigouroux et al.
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Case in brief
This clinical report presents the harvesting oblique tuberosity (HOT) technique for retrieving autogenous connective tissue grafts from the maxillary tuberosity. The illustrated approach divides harvesting into HOT 1 for a regular-shaped graft and HOT 2 when greater graft length is required. The report also describes use of tuberosity replacement grafts in soft tissue phenotype modification, drawing on the site’s volume-rich, collagen-dense tissue. The authors present the technique as a stepwise approach intended to simplify retrieval and support predictable, reproducible graft outcomes.
What made this case unusual
The technique offers two defined harvesting configurations—regular and extended—based on the required graft length, and the report highlights the tuberosity graft’s versatility for soft tissue phenotype modification.
Diagnostic / clinical pearl
When planning a maxillary tuberosity connective tissue graft, the HOT approach distinguishes regular from extended graft shapes according to the length needed.