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CLINICAL CASE

1 – Pre-operative view of the atrophied ridge.
2 – Application of a 1:1 mixture of autologous bone and Geistlich Bio-Oss®.
3 – Geistlich Bio-Gide® is tightly fixed and pinned, thus immobilizing the particulate graft. The sausage-like augmentation allows extended horizontal augmentation.
4 – Primary wound closure is obtained with a combination of mattress and single-interrupted sutures.
5 – Sufficient amount of augmented bone for implant placement 8 months after augmentation. Implants are placed in a submerged procedure.
6 – Insufficient vestibular depth and keratinized tissue after alveolar ridge augmentation.
7 – Application of a keratinized strip towards the vestibulum and Geistlich Mucograft® over the augmented area where it is left exposed for healing.
8 – Situation before reopening for abutment connection after 3 months showing increased vestibular depth

CONCLUSIONS:

  • Geistlich Mucograft® with a keratinized tissue strip was utilized to increase vestibular depth and gain additional keratinized tissue.
  • Augmentation of severely atrophied alveolar ridge provided sufficient bone for implant placement 8 months following augmentation.