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

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® Evolution 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. Derma 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