A male patient shows a hopeless tooth
- Gen-Os®
- Derma

1. Initial situation - Vestibular view

2 - Initial situation - Occlusal view

3 - Endoral x-ray

4 - Occlusal view after extraction and removal of granulation tissue

5 - Occlusal view after insertion of Gen-Os® graft up to the margin of the residual bone crest

6 - Derma membrane

7 - Derma membrane inserted under the gingival margin vestibular in order to preserve the gingival papilla

8 - Suture - Occlusal view

9 - Suture - Vestibular view

10 - Endoral x-ray after grafting

11 - Healing at 15 days

12 - Healing at 7 months before implant insertion

13 - Implant insertion with immediate loading

14 - Immediately before cementing prosthesis - Vestibular view

15 - Immediately before cementing prosthesis - Occlusal view

16 - Cemented prosthesis - Vestibular view

17 - Cemented prosthesis - Occlusal view

18 - Endoral x-ray

19 - Gain of keratinized tissue 12 months after surgery