CLINICAL CASE

1 – Pre-operative assessment demonstrating significant bone loss, prior to vertical ridge augmentation.
2 – Labial view of the posterior mandibular defect site. Cortical bone was perforated to increase the blood supply.
3 – RPM™ was secured on the lingual side prior to applying a 1:1 mixture of autogenous bone and Geistlich Bio-Oss®.
4 – RPM™ was secured over the bone graft with titanium pins and screws.
5 – Geistlich Bio-Gide® is placed on top of RPM™ to prevent early soft tissue ingrowth while allowing for graft vascularization.
6 – Labial view of the soft tissue 9 months after the vertical bone augmentation.
7 – RPM™ exposed at 9 months, following flap elevation.
8 – Labial view of the regenerated surgical site at 9 months demonstrates well vascularized bone.
9 – Occlusal view of the regenerated surgical site at 9 months demonstrates well vascularized bone.
10 – Implant placement in the newly regenerated bone.
Geistlich Fibro-Gide® (15x20x6mm) was placed on top of two implants, to increase soft tissue thickness.
12 – Periapical x-ray 1 year post-operatively, demonstrates implant stability and mature bone formation following vertical bone augmentation and soft tissue thickening.