PMC4319354_01
Bucco-lingual deficient alveolar ridge
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F1
A sharp palatal to midcrestal incision was given followed by raising a full thickness flap so as to expose the ridge crest, which was approximately 4 mm bucco-palatally [Figure 1].
Alveolar ridge after bone spreading with osteotomes
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F2
The initial length of the osteotome was prepared approximately 3 mm deeper than the desired implant length of 11 mm, which was followed by insertion of successive larger diameter osteotome of 0.5 mm shorter than the preceding instrument, so as to expand the base of the bone in V shape [Figure 2].
Implant in place
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F3
Two equino x 0.8 mm x 11 mm implants were placed [Figure 3] and the space between the implants were filled with demineralized freeze-dried bone allograft after placing the cover screw [Figure 4].
Demineralized freeze-dried bone allograft bone allograft in space of bone spread
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F4
Two equino x 0.8 mm x 11 mm implants were placed [Figure 3] and the space between the implants were filled with demineralized freeze-dried bone allograft after placing the cover screw [Figure 4].
Postoperative 6 months after removal of gingival former
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F5
Patient was periodically reviewed for 8 months, followed by prosthetic rehabilitation with full ceramic crowns [Figures 5-7].
Postoperative 6 months intraoral periapical radiograph
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F6
Patient was periodically reviewed for 8 months, followed by prosthetic rehabilitation with full ceramic crowns [Figures 5-7].
Prosthetic rehabilitation with crown
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F7
Patient was periodically reviewed for 8 months, followed by prosthetic rehabilitation with full ceramic crowns [Figures 5-7].