PMC5387826_01
Anterior clinical view showing the extrusion of the teeth 12, 22. Aggressive periodontitis.
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A 34-year-old female in good general health, nonsmoker, with a history of aggressive periodontitis was referred for evaluation and treatment (Figure 1).
Full mouth radiographs demonstrating generalized severe horizontal and angular bone loss.
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The maxillary incisors had severe bone loss with hopeless prognosis (Figure 2).
Vertical and horizontal bone defect after extraction of 12.
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Insufficient bone.
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The MPM is deposited in a sterile gauze.
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The whole preparation was mixed for few seconds and the MPM was obtained (Figures 5 and 6).
The MPM is compressed to obtain a PRF like membrane.
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The whole preparation was mixed for few seconds and the MPM was obtained (Figures 5 and 6).
Implant placement in a narrow bone crest.
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After placing the implant (Figure 7), the MPM and its membrane were placed to correct the bone defect.
The MPM is placed around the implant.
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The implant was completely covered by the modified MPM and sutures were performed (Figure 8).
Occlusal view after 4 months' healing showing a good vestibular volume.
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After 4 months of healing a good vestibular volume was acquired (Figure 9).
The temporary crown on the 12.
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Then the second-stage surgery was done and the temporary crown was placed on the 12 (Figures 10 and 11).
A radiograph showing the implant placement.
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Then the second-stage surgery was done and the temporary crown was placed on the 12 (Figures 10 and 11).
Osseous bone defect after extraction of the 22.
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After the extraction of the 22 (Figure 12), immediate implant placement was performed, and MPM was placed around the site.
A radiograph showing the 2 implants replacing the teeth 12, 22.
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A control radiograph showing the position of the implants was taken (Figure 13).
The final prosthetic rehabilitation.
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Final esthetic and functional rehabilitation.
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