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.