Reconstruction of a horizontal ridge defect using
Fig. 1: Localised horizontal ridge defect. The treatment plan was to place a single implant to replace the lateral incisor.
Fig. 2: A CBCT scan of the defect. The residual ridge width was 5.6 mm.
Fig. 3: Once a full thickness flap had been reflected, the buccal plate was reconstructed using OsteoBiol Soft Cortical Lamina. The lamina was secured using titanium pins.
Fig. 4: The defect was filled with OsteoBiol mp3.
Fig. 5: The lamina was shaped such that it could be folded over the coronal aspect of the filler material. A titanium pin was used to secure the lamina here too.
Fig. 6: The lamina itself was covered with a collagen membrane to allow for rapid soft-tissue integration
Fig. 7: Meticulous, tension-free soft-tissue closure is crucial for successful regeneration.
Fig. 8_The clinical situation after six months of healing.
Fig. 9: A CBCT scan showing the regenerated area. The ridge width was increased to 10.3 mm. A new cortical plate and cancellous compartment are visible.
Fig. 10: Upon reflection of a full thickness flap, the regenerated tissue is visible. The tissue has a good blood supply and remnants of the lamina are present.
Fig. 11: It was possible to place an implant of 3.8 mm in diameter in the correct 3-D position as planned.
Fig. 12: The regenerated ridge before restorative treatment.
Fig. 13: The final situation six months after seating the all-ceramic restoration.
Fig. 14: A periapical radiograph six months after restorative treatment.
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April 28, 2017
Photos provided by Dentsply Sirona