Patient presented with all teeth exhibiting mobility from periodontal disease

Lower anterior teeth extracted and implants placed.

Tent screw placement

Ti enforced Ptfe membrane placement followed by bone packing below PTFE membrane

Note cover cap of tent screw claps down on membrane and imobilises the membrane.

2 tent screws total immobilises membrane in vertical dimension and eliminates graft mobility in grafted site.

Bone graft particles are packed tightly underneath membrane and tent screw.

lateral sinus lift on Q1 above existing teeth