PET CASE WITH PET FAILURE
A perio case with a lost of a central incisor. Neighbor teeth showed bone loss. Decided to replace with implants. Three implants and 3 SS. To fill the pontic place a DOUBLE CTG from palate was taken with Zuchelli technique.
SS were done and after 5 months, prior to uncovering one implant was lost. The uncovery of the other 2 implants was succesful and decided to continue with the fixed bridge. The shield on lateral incisor site was MAINTAINED creating a PONTIC SHIELD.
This are the final pics for comparison and keratinized gingiva apreciation. On pontic site I left the space a little bit open just to wait to the remodelation process and after a couple of month will close if gingiva is not adapting to the pontic.
Dr. Jorge Campos Aliaga