Failed Anterior Ridge

Case Study 11

CASE DESCRIPTION:

This patient presented with a failed anterior bridge, coupled with a very thin, atrophic residual ridge and significant periapical defects around the retained roots of the lateral incisors.

Dr. Nik meticulously planned the treatment, starting with the extraction of the retained roots and proceeding with a horizontal sausage bone augmentation technique. Autogenous bone particles, harvested from the external oblique line, were combined with xenograft/Mineross X (60/40) to regenerate the bone. A collagen membrane, Memlok Pliable, was carefully stabilised with periosteal sutures both buccally and deep palatally to ensure optimal healing. A provisional bridge was then fixed on the canines for immediate function and aesthetics.

After 9 months of smooth, uneventful healing, the bone was successfully regenerated. Dr. Nik performed a full and split-thickness flap and placed two Conelog Progressive implants with precision. To enhance soft tissue contour, Dr. Nik harvested a subepithelial connective tissue graft from the palate, suturing it using the platform technique to vertically augment the crestal soft tissue. The flap was repositioned and primarily closed, allowing for the optimal healing of the graft.

Now, after ensuring full tissue healing, the next phase will involve the exposure of the implants and placement of a provisional screw-retained bridge after three months.

This case highlights Dr. Nik’s expertise in complex bone regeneration, implant placement, and soft tissue management, making him an excellent choice for referrals and mentorship in advanced implant and restorative procedures.