Ridge Augmentation

  • cover image
  • 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 15mm 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 a corticocancellous porcine bone (mp3<sup>®</sup>) and the graft protected with a collagen membrane (Evolution)
  • 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 radiograph 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. Seven years follow-up
  • 19. Seven years follow-up
  • 20. Thirteen years follow-up
  • 21. Thirteen years follow-up
  • Clinical indication: alveolar regeneration
  • Products : Evolution, mp3®
  • Authors : Prof. Antonio Barone
  • Information about patient: Female, 27 years old
  • Credits : Documentation provided by Prof. Antonio Barone, University of Pisa, Italy
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