Clinical case description:

The patient presents a root fracture on his lower right canine. His first premolar is missing.

The 3D CT scan reveals a loss of buccal cortical bone on the canine, and a horizontal bone defect on the premolar.

The selected treatment plan is :

1. Extraction of the canine and concomitant GBR for both canine and premolar.

2. Delayed implantation (6 months).

After canine extraction, a flap is elevated and managed to preserve the alveolar nerve. GBR was conducted using Geistlich Bio-Oss^® and a Geistlich Bio-Gide^® membrane fixed with pins. These pins improve the membrane’s stability, especially in the apical zone, when suturing the flap to cover the graft.

A control radiograph showed at 6 months enough bone augmentation to place 2 implants.

The prosthetic restoration (2 metal-ceramic crowns on customized abutment) was finalized 2 months after implant surgery.