Case Details
The patient has been involved in an accident that had occurred in the patient’s youth affecting two teeth in the front of the mouth. As a result, one tooth was removed while the second tooth remained but lacked the bone to support it. Over time, the space has “closed up” due to lost of the first tooth and a vast amount of bone resorption has occurred including both width and height in the area to the point that the placement of dental implants is impossible since there is insufficient amount of bone volume to support the dental implants. As a result, the extraction of the remaining tooth was performed along with orthodontic treatment to create the adequate spacing required for two ideal sized teeth at sites #7 and #8. Autogenous bone graft was then harvested from the patient’s lower jaw and separated to create bone veneers (or “bone plates/shields”) which are cut to a certain size and shape to fit and to be fixated accordingly at the implant site to reconstruct and restore the volume and architecture of the alveolar bony ridge (i.e., horizontal and vertical ridge augmentation). In addition, soft tissue grafts or connective tissue grafts in particular were also harvested from the patient’s palate of the upper jaw followed by the placement of two endosteal or root-form implants after adequate healing of the site has occurred. Finally, the oral prosthetics (implant abutments and crowns) were connected to the dental implants to complete the overall treatment at this anterior site.
Before
After
Description: After the healing from the bone transplantation procedure has occurred the volume and contour of the bony alveolar ridge can be observed to be adequately restored.
Before
After
Description: The remaining tooth is extracted due to the lack of bone support and orthodontic treatment is performed to recreate the space that was lost. Here, the x-ray shows the space for only one tooth but this space is widened to accommodate the space needed for two ideal size teeth.
Before
After
