GBR using Titanium reinforced membrane on a teenager with a fractured root
A 16 year old female patient presented with a large buccal swelling and draining sinus. There was a 9mm buccal probing depth suggestive of a vertical root fracture. Instead of just extraction we decided to do an immediate bone augmentation using a titanium reinforced membrane and xenograft in order for the bone to be able to be stable in the long term. As we had a minimum of 2-3 years to wait before the implant is placed this technique was considered the best and most stable long term option. Autogenous bone would not have been an option as it would have resorbed if it had not had an implant placed after 4 months. WE will leave the membrane in place as long as possible but will remove it if it starts to perforate the soft tissue. When she is 19 she should be ready for the implant and we should have a good bone base in which to place our implant.