Implant positioning in the esthetic area with Biological Oriented Preparation Technique (BOPT)

  • cover image
  • 1 - Initial situation
  • 2 - Initial endoral x-ray, showing 7-mm bone height low mineralization of the residual crest
  • 3 - Endoral x-ray after implant positioning, with crestal access sinus lifting, OsteoBiol® <i>Evolution</i> and bone chips on the bony crest
  • 4 - Sufficient adhesive gingival height but minimum thickness that does not allow the maintenance of the right volumes
  • 5 - Thickness of the adhesive gingiva
  • 6 - Endoral x-ray at flap opening after 9 months
  • 7 - Flap to preserve the papilla preservation to access the implant
  • 8 - Bony tissue above the healing cap
  • 9 - BOPT preparation on natural abutments and implant abutment
  • 10 - Vestibular view
  • 11 - OsteoBiol® <i>Derma</i> sutured at the CEJ of the 2 abutments
  • 12 - Occlusal view
  • 13 - Suture
  • 14 - Occlusal view
  • 15 - Healing at 20 days
  • 16 - Vestibular view
  • 17 - Guided tissue regeneration
  • 18 - Guided tissue regeneration at 2 months
  • 19 - Occlusal view
  • 20 - Result after 7 months – final impression and esthetic test
  • 21 - Guided tissue regeneration around the implant at 7 months after the opening
  • 22 - Occlusal view – proper gingival volumes
  • 23 - Elements 2.3 and 2.4
  • 24 - Vestibular view
  • 25 - BOPT preparation of the abutment and Switching Platform
  • 26 - Cemented prosthesis – occlusal view
  • 27 - Cemented prosthesis – vestibular view
  • Clinical indication: soft tissue augmentation
  • Products : Derma, Evolution
  • Authors : Dr. Domenico Patarino
  • Information about patient: Female 56
  • Credits : Documentation provided by Dr. Domenico Patarino
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