Bone ridge augmentation in the upper jaw

1. Pre-operative periapical radiograph tooth #24

2. The clinical view reveals 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. A full thickness flap is elevated, the tooth is extracted and a severe bone defect is present

4. The bone defect is grafted with mp3® and protected with an Evolution membrane

5. Primary soft tissue closure is obtained

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

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

8. Soft tissue healing six months after the ridge augmentation procedure. The muco-gingival junction is displaced coronally. Buccal view

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

10. Bone regeneration six months after the ridge augmentation procedure. Some residual particles are still visible, the biomaterial granules are 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 appears well vascularized

13. Peri-apical radiograph after implant placement

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

15. Second stage of surgery. The flap is positioned apically 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