Ridge augmentation and implant placement using CTi-mem and IS ll active implant

Pre-operative Observation

A 30-year-old female patient had lost teeth 36 and 37 and was referred to the clinic for treatment.

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Ridge augmentation was first planned on the mandibular left quadrant, where the crestal width was insufficient for implant placement.

The autogenous bone was harvested using ACM drill.

The autogenous bone was harvested in the ramus using the ACM drill. The harvested bone was soaked in PRF.

Tent screws were placed after the host bone decortication process.

Two tent screws on the recipient site.

The narrow ridge was augmented using a combination of autogenous bone and xenograft (Bio-Oss) at 1:1 ratio. CTi-mem was fixed over the graft.

Collatape over the CTi-mem.

Primary closure was achieved.

After 4 months of healing.

Uncovery was done.

Complete bone regeneration around the tent screws.

IS ll active implants were placed after the tent screws removal.

Healing abutments were placed with good primary stability of the implants.

Postoperative panoramic view.

Buccal and occlusal view of the implant site after healing.

The ridge was exposed with the apically positioned flap and free gingival grafting was conducted for providing keratinized gingiva and deepening the vestibule.

Donor site of free gingival grafting.

Healing of free gingival grafting.

Final restorations were fabricated using the internal SCRP type of abutments.

Prosthetic delivery.

2 year follow-up verified bone crestal level maintenance and stability of peri-implant bone.

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Conclusion A 30-year-old female patient had lost teeth 36 and 37 and was referred to the clinic for treatment. Prior to the implants placement, ridge augmentation was first conducted on the mandibular left quadrant using CTi-mem and Tent screws. *The 2 year follow-up verifying stability of peri-implant bone is added.