Autologous tissue for hard and soft tissue augmentation
Local, organic, sustainable, renewable:) You know this type of patient: tall and skinny, tooth roots prominent, thin buccal bone, and advanced ridge atrophy after extractions. On the right side socket shield for the canine, delayed implant placement. The socket is grafted with cortico-cancellous piece of tuberosity bone. This graft material is shown to result in bone fill for the sockets with socket shield. Sinus window bone plate was utilized for the Khoury technique, for the horizontal ridge augmentation. Sinus was elevated. Buccal sliding palatal flap (BSPPF) for the wound closure, avoiding major buccal flap coronal advancement. Teeth supported provisional. After 4 months implants with healing abutments were left to heal submerged (guided soft tissue augmentation), again BSPPF was utilized. Simple implant uncoverage.
On the left side: BSPPF and GBR for the ridge with horizontal atrophy plus implant placement, modified roll flap for implant uncovering procedure.