Extraction, guided bone regeneration and delayed guided implant placement

Initial situation

CBCT images of teeth 11 and 21

Incision design

After retracting flap & curettage of inflammatory tissue

Resorbable membrane secured with bone pins

Alveoli reconstructed with sticky bone

PRF membranes in situ

Wound primarily closed with PRF

Essix retainer directly after surgery

Two weeks postoperative

Soft tissue epithelialization 4 weeks post-op

Healed jaw after 4 months

Sufficient width to implant flaplessly

Planning in R2GATE software

Circular incisions

Guide in place and drilling in the shaft

Implant driver through guide

Implants placed through guide

Temporary crowns immediately after implant placement

Maturation of soft tissues after 6 months

Cervical and emergence profile of the implants

Two scan abutments in situ for digital impression

Baked porcelain on zirconia and titanium inserts

Final result front view

Sufficient thickness of tissues for a natural emergence profile