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Stephen Franks

Houghton Regis, Royaume-Uni

Clinical case description:

A 57 year old male presented to me requesting a dental implant to replace a missing upper right incisor tooth. A cone beam CT scan showed a substantial labial defect and the patient was consented for the use of bovine and porcine grafting materials (Geistlich Bio-Oss® and Geistlich Bio-Gide®). The three walled nature of the defect made it an ideal candidate for simultaneous placement and GBR.

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<p>Enlargement of the osteotomy palatally in the region of the dehiscence defect has allowed the implant to remain centered and to avoid it being pushed labially by the unopposed threads.</p>

Enlargement of the osteotomy palatally in the region of the dehiscence defect has allowed the implant to remain centered and to avoid it being pushed labially by the unopposed threads.

<p>A healing cap was placed to protect the bone material at the critical coronal aspect.</p>

A healing cap was placed to protect the bone material at the critical coronal aspect.

<p>The healing cap then effectively tented the overlying membrane, protecting the grafting material from being displaced.</p>

The healing cap then effectively tented the overlying membrane, protecting the grafting material from being displaced.

<p>The edges of the flap were allowed to overlap, avoiding tension over the crystal incision (longer follow-up not yet available).</p>

The edges of the flap were allowed to overlap, avoiding tension over the crystal incision (longer follow-up not yet available).

Pre-surgery


							<p>Enlargement of the osteotomy palatally in the region of the dehiscence defect has allowed the implant to remain centered and to avoid it being pushed labially by the unopposed threads.</p>

Surgery


							<p>A healing cap was placed to protect the bone material at the critical coronal aspect.</p>

Outcome


							<p>The healing cap then effectively tented the overlying membrane, protecting the grafting material from being displaced.</p>

Follow-up after at least 6 months


							<p>The edges of the flap were allowed to overlap, avoiding tension over the crystal incision (longer follow-up not yet available).</p>