Dalho Lee

Seoul, South Korea

Clinical case description:

> Aesthetic improvement because of patient complaint about implant shimmering at peri-implantitis site.

> Regenerate horizontal bone defect for maintaining the implant.

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<p>1) Clinical situation pre-op indicating the loss of bone and softtissue. 2) Three months before bone regeneration treatment a softtissue augmentation with a connective tissue graft was performed.</p>

1) Clinical situation pre-op indicating the loss of bone and softtissue. 2) Three months before bone regeneration treatment a softtissue augmentation with a connective tissue graft was performed.

<p>3) On the day of the second surgery, the peri-implantitis site shows a comfortable soft-tissue situation. 4) Intraoperative situation showing the defect. Bone decortication is performed in order to support bone regeneration.</p>

3) On the day of the second surgery, the peri-implantitis site shows a comfortable soft-tissue situation. 4) Intraoperative situation showing the defect. Bone decortication is performed in order to support bone regeneration.

<p>5) Geistlich Bio-Gide<sup>®</sup> is trimmed to the defect size and placed over the defect. 6) Geistlich Bio-Oss<sup>®</sup> Collagen is soaked in saline and shaped to cover the defect.</p>

5) Geistlich Bio-Gide® is trimmed to the defect size and placed over the defect. 6) Geistlich Bio-Oss® Collagen is soaked in saline and shaped to cover the defect.

<p>7) Post-op CT showing the augmented area on the implant surface. 8) Clinical situation 4 months after surgery showing a stable situation.</p>

7) Post-op CT showing the augmented area on the implant surface. 8) Clinical situation 4 months after surgery showing a stable situation.

Pre-surgery

<p>1) Clinical situation pre-op indicating the loss of bone and softtissue. 2) Three months before bone regeneration treatment a softtissue augmentation with a connective tissue graft was performed.</p>

Surgery

<p>3) On the day of the second surgery, the peri-implantitis site shows a comfortable soft-tissue situation. 4) Intraoperative situation showing the defect. Bone decortication is performed in order to support bone regeneration.</p>

Outcome

<p>5) Geistlich Bio-Gide<sup>®</sup> is trimmed to the defect size and placed over the defect. 6) Geistlich Bio-Oss<sup>®</sup> Collagen is soaked in saline and shaped to cover the defect.</p>

Follow-up after at least 6 months

<p>7) Post-op CT showing the augmented area on the implant surface. 8) Clinical situation 4 months after surgery showing a stable situation.</p>