case_images: PMC6085604_01
case_images: CBCT showing insufficient bone width at tooth #46.
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case_images: f1
case_images: A cone beam CT scan was taken to evaluate the ridge width and height and the location of vital structures ( Figure 1 and Figure 2).
case_images: CBCT showing insufficient bone width #46.
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case_images: f2
case_images: A cone beam CT scan was taken to evaluate the ridge width and height and the location of vital structures ( Figure 1 and Figure 2).
case_images: Pre- ridge augmentation.
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case_images: f3
case_images: At 8 weeks after the free gingival graft procedure ( Figure 3), ridge augmentation was performed using a titanium-reinforced non-resorbable polytetrafluoroethylene PTFE membrane and FDBA.
case_images: Full thickness flap reflection.. The mental nerve can be seen.
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case_images: Figure 4). Flap advancement adjacent to the mental foramen area was conducted after a full-thickness mucoperiosteal flap was elevated beyond the mucogingival junction by pushing back the flap using wet gauze until the mental nerve was located ( Figure 4).
case_images: Measuring the bone width (3 mm). Decortication was performed to increase blood supply in the area.
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case_images: Decortication was performed in the buccal bone with a round bur ( Figure 5).
case_images: Non-resorbable membrane covering FDBA.
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case_images: FDBA (OraGRAFT , USA) was placed beneath the membrane and packed gently ( Figure 6), then the membrane coronal part was stabilized with two tacks. Flaps were sutured with 4-0 non-resorbable PTFE sutures (Cytoplast  Sutures, Osteogenics Biomedical) ( Figure 7) Postoperative instructions (about diet, pain, bleeding and healing) and medications, including 600 mg ibuprofen three times a day for 5 days, 875 mg amoxicillin twice daily for one week and 0.12% chlorohexidine mouth wash twice a day for 2 weeks, were given to the patient.
case_images: Suturing, primary closure was achieved.
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case_images: PMC6085604_01_f1000research-7-16264-g0006.jpg
case_images: f7
case_images: FDBA (OraGRAFT , USA) was placed beneath the membrane and packed gently ( Figure 6), then the membrane coronal part was stabilized with two tacks. Flaps were sutured with 4-0 non-resorbable PTFE sutures (Cytoplast  Sutures, Osteogenics Biomedical) ( Figure 7) Postoperative instructions (about diet, pain, bleeding and healing) and medications, including 600 mg ibuprofen three times a day for 5 days, 875 mg amoxicillin twice daily for one week and 0.12% chlorohexidine mouth wash twice a day for 2 weeks, were given to the patient.
case_images: The patient at 2 weeks follow-up.
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case_images: The patient at 4 weeks follow-up.
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case_images: The size of the exposure was approximately 4 x 8 mm ( Figure 9 and Figure 10).
case_images: 4 weeks follow-up, membrane exposure can be observed.
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case_images: f10
case_images: The size of the exposure was approximately 4 x 8 mm ( Figure 9 and Figure 10).
case_images: Membrane covering surgery.
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case_images: f11
case_images: PTFE) were used ( Figure 11). Patient was instructed to use chlorhexidine mouthwash and weekly recall to monitor the surgical site.
case_images: The patient at 1 week after membrane covering surgery.
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case_images: f12
case_images: At the 5-week follow up point, 1 week after our surgical attempt to cover the membrane exposure, the size of exposure had increased ( Figure 12).
case_images: The patient at 2 weeks after membrane covering surgery.
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case_images: f13
case_images: At the 6-week follow-up point, 2 weeks after the membrane covering procedure, intraoral examination revealed pus discharge between the membrane and the tissue ( Figure 13).
case_images: The underlying tissue after membrane removal.. No bone graft remnants were observed in the surgical site.
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case_images: f14
case_images: An incision was made to split them membrane from the tissue then the membrane was removed ( Figure 14).
case_images: Suturing after membrane removal.
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case_images: f15
case_images: The flap was sutured using resorbable sutures ( Figure 15).