PMC8191563_01
Baseline clinical view
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F1
In addition, the contour of the ridge was strangely serpentine in the form with unfavorable frenal attachments [Figure 1].
Preoperative cone-beam scans scout view and cross sections
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F2
PMC8191563_02
PMC8191563_03
PMC8191563_04
Diagrammatic illustration of incision
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F3
The site was exposed through a crestal incision as illustrated in Figure 3; the palatal flaps were sutured together for better retraction and exposure of the field.
Exposure of operative site
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F4
Ostectomy with rotary disc
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F5
Implant placement at preplanned sites
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F6
Guided bone regeneration
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F7
In most of the ridge bone graft was placed as a buccal veneer while in some region (#23-25), it was used as a palatal veneer [Figure 7].
Sutured wound
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F8
2-week follow-up
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F9
PMC8191563_05
Situation at 3 months
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F10
There was asymmetry in the amount and location of attached tissue, which required correction before the implants were uncovered [Figure 10].
Free gingival graft harvest
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F11
These were about 1.5-2 mm thick and 25-30 mm in length [Figure 11].
Free gingival graft adapted and secured
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F12
Grafts were adapted and secured using 5,0 polyglactin sutures (Vicryl, Ethicon) [Figure 12].
Final view of the arch form with integrated implants
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F13
PMC8191563_06