Ridge Augmentation and Concomitant Implant Placement in the Esthetic Zone Through One Surgical Site: A Clinical Report

Figure 1. Buccal view of an edentulous segment (missing teeth #8 and #9) with a horizontal alveolar defect and minimal keratinized gingiva. Figure 2. Panoramic radiograph before surgery. Figure 3. Occlusal view of a massive osseous defect and a protuberant anterior nasal spine after flap elevation. Figure 4. A square bone graft was harvested from the anterior nasal spine. Figure 5. Concomitant implant placement. Figure 6. Fixture of the block graft to the recipient site. Figure 7. A palatal split connective tissue flap for the bone graft and substitute package coverage. Figure 8. Primary closure of the surgical site.

Figure 9. Clinical view of a developed ridge and improved keratinized tissue 4 months after primary surgery. Figure 10. Two well osseointergrated implants were documented on a periapical radiograph. Figure 11. Second surgery to uncover the implants, remove the fixed screw, and place healing abutments. Figure 12. The definitive implant-support restorations. Figure 13. Radiographic appearance of implant fixtures 2 years after treatment. Figure 14. Clinical condition after 2 years.