Mobility of the old bridges in the anterior maxillary

A patient came to the office complaining of the mobility of the old bridges located in the anterior maxillary segment. The treatment plan was a fixed prosthetic supported by four implants.

Radiographic appearance 4 months after the removal of impacted #13 and augmentation with Bond Apatite. In this stage, we notice a deterioration of sites #21,# 23 #24, which are now infected. We decide to extract the teeth and augment with Augma Bond Apatite considering simultaneous implant placement if possible.
Note the large 3D bone deficiency after extraction and complete debridement of the infected sites.
Despite the large defects, there was a possibility to place implants with good primary stability. However, in#21, we decided only to augment and not to place an implant.
Augmentation with Bond Apatite around the implants and in the deficient sites.
Sutures of the flap under tension for maximal closure . Graft exposure of 3 mm is acceptable .
Wonderful soft tissue healing appearance 2 weeks post-op
Panoramic radiographic appearance 4 months post op. Representing a complete regeneration of the deficient sites
Placement of a 4.2/11.5 mm implant at #21. Conclusion: with Bond Apatite, we were able to fill the gaps, the large defects, and the void left after removing the impacted canine, and while the site was chronically infected. With Bond Apatite, a complex and challenging procedure can be augmented easily, minimal invasive, without a membrane, PRF, or other additives, while the outcome is true bone regeneration.

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