case_images: PMC3134050_01
case_images: Preoperative orthopantamograph
case_images: JISP-15-59-g002.jpg
case_images: PMC3134050_01_JISP-15-59-g002.jpg
case_images: F2
case_images: A provisional diagnosis of Generalized Chronic Periodontitis was made, which was well-supported by the supplemental evidence of generalized horizontal bone loss, as observed in the Orthopantomograph [Figure 2] and a full set of intraoral periapical radiographs taken.
case_images: Clinical site of surgery
case_images: JISP-15-59-g003.jpg
case_images: PMC3134050_01_JISP-15-59-g003.jpg
case_images: F3
case_images: The chin was degloved (intra-oral surgical exposure of the bony mandibular chin) till the inferior border of the mandible [Figure 3].
case_images: Graft harvested
case_images: JISP-15-59-g004.jpg
case_images: PMC3134050_01_JISP-15-59-g004.jpg
case_images: F4
case_images: A corticocancellous block bone graft (2 cm lengthx1 cm breadth) was harvested from the inferior border of the mandible (J graft) [Figure 4].
case_images: Ridge split
case_images: JISP-15-59-g005.jpg
case_images: PMC3134050_01_JISP-15-59-g005.jpg
case_images: F5
case_images: The graft was tunneled and positioned on the crestal ridge and secured using a standard microscrew (1.5mm diameter) [Figures 5-7].
case_images: J-shaped bone
case_images: JISP-15-59-g006.jpg
case_images: PMC3134050_01_JISP-15-59-g006.jpg
case_images: F6
case_images: The graft was tunneled and positioned on the crestal ridge and secured using a standard microscrew (1.5mm diameter) [Figures 5-7].
case_images: Graft in place
case_images: JISP-15-59-g007.jpg
case_images: PMC3134050_01_JISP-15-59-g007.jpg
case_images: F7
case_images: The graft was tunneled and positioned on the crestal ridge and secured using a standard microscrew (1.5mm diameter) [Figures 5-7].
case_images: Sub-epithelial connective graft
case_images: JISP-15-59-g008.jpg
case_images: PMC3134050_01_JISP-15-59-g008.jpg
case_images: F8
case_images: The graft was trimmed and positioned appropriately onto the recipient site [Figures 8 and 9].
case_images: Connective tissue graft from palate
case_images: JISP-15-59-g009.jpg
case_images: PMC3134050_01_JISP-15-59-g009.jpg
case_images: F9
case_images: The graft was trimmed and positioned appropriately onto the recipient site [Figures 8 and 9].
case_images: Immediate postoperative OPG
case_images: JISP-15-59-g010.jpg
case_images: PMC3134050_01_JISP-15-59-g010.jpg
case_images: F10
case_images: Immediate postoperative orthopantamograph was taken to see if the graft and screws are secure [Figure 10] instructions were reinforced.
case_images: After six months
case_images: JISP-15-59-g011.jpg
case_images: PMC3134050_01_JISP-15-59-g011.jpg
case_images: F11
case_images: Six months following the augmentation procedures, an orthopantamograph (OPG) was repeated and increased radiopacity was observed in relation to the alveolar ridge of the lower anterior region, suggestive of the regeneration of an adequate amount and height of the alveolar bone in that region (6 mmx3 mm) [Figure 11].
case_images: Implant placement
case_images: JISP-15-59-g012.jpg
case_images: PMC3134050_01_JISP-15-59-g012.jpg
case_images: F12
case_images: Implant osteotomy was performed up to a diameter of 3.2mm and two implants (3.75x13 mm, Lifecare) were placed [Figure 12].
case_images: Implants in sound bone
case_images: JISP-15-59-g013.jpg
case_images: PMC3134050_01_JISP-15-59-g013.jpg
case_images: F13
case_images: Primary stability of 40 N was achieved [Figure 13] and cover screws were placed.
case_images: Provisonal restoration
case_images: JISP-15-59-g014.jpg
case_images: PMC3134050_01_JISP-15-59-g014.jpg
case_images: F14
case_images: The patient was rehabilitated with a provisional restoration to restore esthetics [Figure 14].