CLINICAL CASE

A flap has been raised and reveals a significant facial and palatal defect at congenitally missing site #10.
Harvested ramal graft. Slightly over-sized to allow for mitering and harvest of particulate autograft with a bone trap on the suction.
Onlay graft now secured with two fixation screws (Stryker) with a lag screw technique. Geistlich Bio-Oss Collagen® has been placed on the palatal aspect of site #10
Combination of a fixated onlay graft with Geistlich Bio-Oss®/autograft particulate graft at the periphery and over the facial plate of the adjacent dentition
Geistlich Mucograft® matrix placed over facial augmentation of the adjacent dentition and ridge crest of the augmented site
Closure following ramal grafting and Geistlich Mucograft®matrix application
Implant placement with static guide and dental implant hand driver
Implant placement with slight subcrestal placement of the platform just prior to osteoplasty by the periodontist.