Pre-operative Observation
![](https://static.wixstatic.com/media/f6498d_a03557f249e044db93728ed85000471b~mv2.png/v1/fill/w_48,h_36,al_c,q_85,usm_0.66_1.00_0.01,blur_2,enc_auto/f6498d_a03557f249e044db93728ed85000471b~mv2.png)
![](https://static.wixstatic.com/media/f6498d_d1cdbbcfeb264709b833efe925364b88~mv2.png/v1/fill/w_48,h_36,al_c,q_85,usm_0.66_1.00_0.01,blur_2,enc_auto/f6498d_d1cdbbcfeb264709b833efe925364b88~mv2.png)
![](https://static.wixstatic.com/media/f6498d_aa79e91b5f454018b04c16ce4a788689~mv2.png/v1/fill/w_48,h_36,al_c,q_85,usm_0.66_1.00_0.01,blur_2,enc_auto/f6498d_aa79e91b5f454018b04c16ce4a788689~mv2.png)
![](https://static.wixstatic.com/media/f6498d_c75667ee8705406b919a17ce0a24c8b9~mv2.png/v1/fill/w_48,h_36,al_c,q_85,usm_0.66_1.00_0.01,blur_2,enc_auto/f6498d_c75667ee8705406b919a17ce0a24c8b9~mv2.png)
A 44 year old male patient came in with tooth fracture of #22.
![](https://static.wixstatic.com/media/f6498d_4251eab02d99481b93f219cfe2f8f71d~mv2.png/v1/fill/w_48,h_36,al_c,q_85,usm_0.66_1.00_0.01,blur_2,enc_auto/f6498d_4251eab02d99481b93f219cfe2f8f71d~mv2.png)
The flap was designed according to the size of the buccal plate defect that was caused by periapical cyst and planned to be grafted with a bone substitute.
![](https://static.wixstatic.com/media/f6498d_c790d4a6fd6b41fc95fb9ba1f8706964~mv2.png/v1/fill/w_48,h_36,al_c,q_85,usm_0.66_1.00_0.01,blur_2,enc_auto/f6498d_c790d4a6fd6b41fc95fb9ba1f8706964~mv2.png)
![](https://static.wixstatic.com/media/f6498d_4b2b53e6078040aabeddb824ade81c73~mv2.png/v1/fill/w_48,h_36,al_c,q_85,usm_0.66_1.00_0.01,blur_2,enc_auto/f6498d_4b2b53e6078040aabeddb824ade81c73~mv2.png)
4.0*10mm CMI IS ll active implant was placed on #22. Vertical level of the implant was 4mm below the gingival margin (zenith) of #12.
![](https://static.wixstatic.com/media/f6498d_b805beeee79a420dbaa060b81111b70d~mv2.png/v1/fill/w_48,h_36,al_c,q_85,usm_0.66_1.00_0.01,blur_2,enc_auto/f6498d_b805beeee79a420dbaa060b81111b70d~mv2.png)
The buccal plate defect was filled with autogenous and allogenic bone.
![](https://static.wixstatic.com/media/f6498d_903977e9a30f460e9f8ef07dfc6e120c~mv2.png/v1/fill/w_48,h_36,al_c,q_85,usm_0.66_1.00_0.01,blur_2,enc_auto/f6498d_903977e9a30f460e9f8ef07dfc6e120c~mv2.png)
Resorbable collagen membrane was placed over the graft.
![](https://static.wixstatic.com/media/f6498d_9bf085cce2364f83933f1f415cbf2c3e~mv2.png/v1/fill/w_48,h_36,al_c,q_85,usm_0.66_1.00_0.01,blur_2,enc_auto/f6498d_9bf085cce2364f83933f1f415cbf2c3e~mv2.png)
The implant was completely submerged.
![](https://static.wixstatic.com/media/f6498d_691778be58604ebd8aa7d4edbf332909~mv2.png/v1/fill/w_48,h_36,al_c,q_85,usm_0.66_1.00_0.01,blur_2,enc_auto/f6498d_691778be58604ebd8aa7d4edbf332909~mv2.png)
Postoperative radiographic photograph.
![](https://static.wixstatic.com/media/f6498d_dbdbe7faa5fc402c9d489398fb9730da~mv2.png/v1/fill/w_48,h_36,al_c,q_85,usm_0.66_1.00_0.01,blur_2,enc_auto/f6498d_dbdbe7faa5fc402c9d489398fb9730da~mv2.png)
Post-operative Radiograph
Conclusion
A 44 year old male patient came in with tooth fracture of #22. The flap was designed according to the size of the buccal plate defect that was caused by periapical cyst and planned to be grafted with a bone substitute…