Replacement of A Fractured Central Incisor – 16 Months Post Grafting

Case Description

A 57 year-old non-smoker patient and healthy patient. He came to consult for pain on #11. The x-ray did not provide any convincing but the clinical examination made us think of a root fracture.

Ignoring bone damage, I performed a large full thickness flap and realized a bone filling with biphasic calcium sulfate (Augma Bond Apatite), hoping to limit the loss of width following a traumatic extraction. A collagen sponge was used to cover the graft. A flipper (with no pressure) was used as temporary solution. The patient came back for implant placement after 16 months. 

The graft material was replaced by a true new bone and the width, as well as the height of the ridge, have been preserved during this time.

It was a pleasant surprise to work in a D2 bone whose volume has been preserved after that long period.

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