case_images: PMC5767995_01
case_images: Preimplant panoramic radiography (severe alveolar bone loss is observed due to endodontic-periodontal lesion)
case_images: JISP-21-66-g001.jpg
case_images: PMC5767995_01_JISP-21-66-g001.jpg
case_images: F1
case_images: The periapical and panoramic radiographic analysis showed a radiolucency image on the related teeth which were previously applied endodontic treatment [Figure 1].
case_images: Preimplant panoramic radiography (before sinus augmentation)
case_images: JISP-21-66-g002.jpg
case_images: PMC5767995_01_JISP-21-66-g002.jpg
case_images: F2
case_images: Sinus augmentation was applied in the 3rd month after the FGG, which reduced to 22 mm x 4 mm in the 3rd month [Figure 2].
case_images: (a-c) Sinus augmentation
case_images: JISP-21-66-g003.jpg
case_images: PMC5767995_01_JISP-21-66-g003.jpg
case_images: F3
case_images: Then, the maxillary sinus floor was filled with freeze-dried bone allograft (FDBA) MinerOss, BioHorizons, Birmingham, AL, USA and a collagen barrier membrane BioMend, Zimmer, CA, USA [Figure 3a-c].
case_images: (a-e) Implant application and guided bone regeneration (with titanium-reinforced membrane)
case_images: JISP-21-66-g004.jpg
case_images: PMC5767995_01_JISP-21-66-g004.jpg
case_images: F4
case_images: FDBA was positioned around the implants, filling completely in the defect [Figure 4b and d]. Finally, the d-PTFE membranes were completely fixed with buccal pin [Figure 4e].
case_images: Postimplant panoramic radiography (immediately after the surgery)
case_images: JISP-21-66-g005.jpg
case_images: PMC5767995_01_JISP-21-66-g005.jpg
case_images: F5
case_images: (a and b) Removal of titanium-reinforced membrane
case_images: JISP-21-66-g006.jpg
case_images: PMC5767995_01_JISP-21-66-g006.jpg
case_images: F6
case_images: During the membrane removal after 6 months, vertical defects around the implants were satisfactorily filled with newly formed hard tissue [Figure 6a and b].
case_images: (a and b) Placement abutments
case_images: JISP-21-66-g007.jpg
case_images: PMC5767995_01_JISP-21-66-g007.jpg
case_images: F7
case_images: Prosthetic restorations were performed in the 1st month following the phase 2 surgery (membranes were also removed during this process) [Figure 7a and b].
case_images: Prosthetic rehabilitation
case_images: JISP-21-66-g008.jpg
case_images: PMC5767995_01_JISP-21-66-g008.jpg
case_images: F8
case_images: The patient had no functional, psychological, esthetic, or phonation problems during the 12 month follow-up [Figures 8 and 9].
case_images: Postimplant panoramic radiography (1 year after prosthetic rehabilitation)
case_images: JISP-21-66-g009.jpg
case_images: PMC5767995_01_JISP-21-66-g009.jpg
case_images: F9
case_images: The patient had no functional, psychological, esthetic, or phonation problems during the 12 month follow-up [Figures 8 and 9].