Ridge augmentation in the upper jaw

1. Pre-operative periapical radiograph tooth #24

2. Clinical view. Acute infection, suppuration from a buccal fistula, mesial and distal probing depth 12mm, buccal probing depth 15 mm and mobility degree 3

3. Intra-operative view, full thickness flap was elevated, the tooth was extracted and a severe bone defect was present

4. The bone defect was grafted with OsteoBiol® mp3® and the graft protected with an OsteoBiol® Evolution membrane

5. Primary soft tissue closure was obtained

6. Soft tissue healing 6 weeks after the ridge augmentation procedure. Buccal view

7. Soft tissue healing 6 weeks after the ridge augmentation procedure. Occlusal view

8. Soft tissue healing 6 months after the ridge augmentation procedure, the muco-gingival junction was displaced coronally. Buccal view

9. Periapical x-ray of tooth #24 6 months after ridge augmentation procedure

10. Bone regeneration 6 months after the ridge augmentation procedure, some residual particles are still visible, the biomaterial granules were well integrated in the new and well vascularized bone

11. Implant placement in a prosthetically driven position, occlusal view

12. Implant placement, buccal view. The newly formed bone appeared well vascularized

13. Peri-apical radiograph after implant placement

14. Soft tissue healing 3 months after implant placement, tooth position #24

15. Second stage of surgery, apically positioned flap to rebuild a correct soft tissue architecture

16. Final restoration

17. Final restoration

18. 7 years follow-up

19. 7 years follow-up

20. 13 years follow-up

21. 13 years follow-up