PMC5337348_01
Maxillary: preoperative view.
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Clinical examination showed the absence of the anterior maxillary teeth (Figure 1).
The total-thick flap raised.
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Using a Molt elevator, the full-thickness flap was reflected toward the base of the vestibule to expose the bone remnant (Figure 2).
The implants installed.
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fig3
Due to the severely attenuated thickness of the maxilla, fenestration occurred on the vestibular side (Figure 3).
Bone blocks fixed with miniscrews and particulate bone.
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Particle bone was placed around the blocks to eliminate gaps (Figure 4).
Suture.
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Panoramic radiograph after 10 months postoperatively.
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Ceramic prosthesis.
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The patient was followed closely for a total of 24 months after the surgery (Figure 7).