This case present a guided bone regeneration for horizontal and vertical augmentation with implants placement. Soft tissue graft was placed in the canine socket and PRGF clot in the lateral socket prior to implant placement in the anterior maxilla.
Patient information
26 years old, who received orthodontic treatment, where the ortho try to move the canine from the palatal, as you see, that was not possible, the canine and the lateral has a great mobility.
Treatment planning
Tomography of the canine area
Tomography from the lateral
Extraction and socket cleaning
Soft tissue graft from the palate to fill the socket of the canine.
Soft tissue graft was placed in the canine socket and PRGF clot in the lateral socket
Healing at 2 months
Flap reflection
ACM recollecting
ACM recollecting
Eptf titanium reinforced non resorbable membrane
Collagen resorbable membrane placement at the bottom
Collagen resorbable membrane placement at the bottom
Horizontal mattress eptf suture.
9 months after.
Reopening with 45 degree, for decrease the scar healing
Before and 9 months later
Before and 9 months later
Surgical guide, to place 2 IS II implants
Removing bone until have 3 mm from crestal bone to gingival margin on the surgical guide.
Biological drilling at 75 RPM to recollect autogenous bone
Biological drilling at 75 RPM to recollect autogenous bone
Implants placed with autogenous bone and PRGF
Implants placed with autogenous bone and PRGF
Uncover the implant 4 months later, you can see new bone formation over the implants platform.
Uncover the implant 4 months later, you can see new bone formation over the implants platform.
Final prosthesis
4 years follow up
4 years follow up
Comments