PMC3357016_01
Pre-operative view
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F1
Intra oral examination revealed missing 21 and a cantilever bridge, with 11 as an abutment [Figures 1 and 2].
Pre-operative X-ray
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F2
Intra oral examination revealed missing 21 and a cantilever bridge, with 11 as an abutment [Figures 1 and 2].
11 prepared
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F3
After suture removal, the cantilever bridge was modified and given as temporary restoration [Figures 3-5].
Implant with cover screw
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F4
After suture removal, the cantilever bridge was modified and given as temporary restoration [Figures 3-5].
Post-operative radiograph
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F5
After suture removal, the cantilever bridge was modified and given as temporary restoration [Figures 3-5].
One month after implant placement
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F6
When the patient was reviewed after one month, there was a concavity in the buccal aspect of the region, 21 [Figure 6].
Fenestration defect around an implant
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F7
PRF in test tube
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F8
PRF gel
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F9
Bone graft mixed with PRF
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F10
Bone graft and PRF mixture placed over defect
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F11
PRF and GTR membrane placed over defect
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F12
Flap sutured
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F13
Later, the flap was coronally positioned and sutured [Figure 13].
Final restoration
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F14
The implant was uncovered and a healing abutment was connected to allow emergence of the implant through the soft tissues, thus facilitating access to the implant from the oral cavity and final restoration was placed [Figure 14].