This patient presents with an abscess on a front tooth, it is not salveagable. It is unaesthetic. But turning this situation around to be healthy, stable and attractive involves a considerable amount of work.
This case presents the recovery of a severe alveolar defect on a maxillary central incisor using guided bone regeneration. The procedures are detailed step-by-step with practical advice.
A huge maxillary anterior deficiency resulted from the loss of adjacent maxillary central and lateral incisors. Dr Jörg-Martin Ruppin from Germany shows how he was able to regenerate the region using an autologous bone block and bone chips harvested from the mandibular ramus. Two separate soft tissues grafts were also needed. This too is a remarkable case.
This case presents the treatment of an edentulous maxilla with six implants of which the two most distal were tilted to avoid the maxillary sinus. This allowed a fixed implant supported reconstruction to be placed four months later.