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CLINICAL CASE
1 – Radiographic image showing the vertical bone deficit in the left mandible.2 – Clinical situation before opening the area. 3 – Incision for the creation of a poncho flap. 4 – Starting in the retromolar area the incision is directed toward the distal region of tooth 23.5 – Cortical bone is removed with the trephine, crushed and mixed with Geistlich Bio-Oss® (50:50). 6 – Successive application of Geistlich Bio-Gide®.7 – Dehiscence after 1.5 months. The soft tissue was de-epithelialized and a free gingival graft was sutured to protect the exposition. Dehiscence may occur but usually heals spontaneously after appropriate cleaning. 8 – After 6 months, the ridge incision is applied to access the 3-D titanium scaffold. 9 – Buccal view of the regenerated bone. Even though there was dehiscence, the bone was regenerated satisfactorily.10 – Four implants are inserted and the soft tissue is healed showing the contour provided by the good adaptation of the provisional prosthesis. 11 – Clinical situation after the final prosthesis and the soft tissue frenum removal.12 – Radiographic situation.