Case of ridge splitting and two implants placement with GBR and soft tissue modification to create ideal emergence profile
Case of severely atrophic lower right mandible treated with ridge splitting and two regular platform implants.Autologous bone chips harvested and used to fill the gaps ,xeno-bone in sticky format were used as a second layer , gradted zone covored with collagen membrane and sutured in three layers:deep horizontal mattress, marginal horizontal mattress and continues interlocking. Four months later second stage surgery was performed to place healing abutments and increase the volume of the soft tissues around implants with SCTG from the palate utilizing Zucchelly's technique. Later using dynamic compression technique emergence profiles was modified to get ideal shape.Customized open-tray transfers used to take impression for final crowns, properly reflecting created emergence profiles. Final hybrid screw retained crowns were delivered two months later after last emergence profile modification.