PMC6766170_01
Occlusal views (a, b) of the posterior mandibular area show the thin bone crest. Occlusal view (c, d) of the two implant osteotomies and implant in place. (e) Autogenous particulate bone mixed with inorganic bovine bone-derived mineral (ABBM) in place. Buccal (f, h) and occlusal (g) views of the membrane fixed with titanium pins. Occlusal view (i) of the posterior mandibular area 6-months postsurgery. Occlusal view (j) of the regenerated bone. Second surgery performed by a lingual approach with roll flap technique that allows to increase the vestibular volume of soft tissues. (k) Healing screw in place. (l) Removal of healing screws and taking impressions. (m, n) Placement of the definitive crown (screw-retained).
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PMC6766170_01_CRID2019-6710340.001.jpg
fig1
Since the patient wanted a fixed prosthesis rehabilitation with implants, the treatment plan included regeneration of the alveolar defect to ideally restore form, function, and esthetics with the immediate placement of two fixtures (Figure 1).