Esthetic restoration to soft tissue defects in the anterior maxilla

This case present a guided bone regeneration for horizontal and vertical augmentation with implants placement. Soft tissue graft was placed in the canine socket and PRGF clot in the lateral socket prior to implant placement in the anterior maxilla.

Patient information

26 years old, who received orthodontic treatment, where the ortho try to move the canine from the palatal, as you see, that was not possible, the canine and the lateral has a great mobility.

Treatment planning

Tomography of the canine area

Tomography from the lateral

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Extraction and socket cleaning

Soft tissue graft from the palate to fill the socket of the canine.

Soft tissue graft was placed in the canine socket and PRGF clot in the lateral socket

Healing at 2 months

Flap reflection

ACM recollecting

ACM recollecting

Eptf titanium reinforced non resorbable membrane

Collagen resorbable membrane placement at the bottom

Collagen resorbable membrane placement at the bottom

Horizontal mattress eptf suture.

9 months after.

Reopening with 45 degree, for decrease the scar healing

Before and 9 months later

Before and 9 months later

Surgical guide, to place 2 IS II implants

Removing bone until have 3 mm from crestal bone to gingival margin on the surgical guide.

Biological drilling at 75 RPM to recollect autogenous bone

Biological drilling at 75 RPM to recollect autogenous bone

Implants placed with autogenous bone and PRGF

Implants placed with autogenous bone and PRGF

Uncover the implant 4 months later, you can see new bone formation over the implants platform.

Uncover the implant 4 months later, you can see new bone formation over the implants platform.

Final prosthesis

4 years follow up

4 years follow up