case_images: PMC9030309_01
case_images: (a) Missing maxillary right lateral incisor region. (b) Cone-beam computed tomography scan. (c) Evaluation with paralleling depth pins. (d) Final insertion
case_images: CCD-13-95-g001.jpg
case_images: PMC9030309_02_CCD-13-95-g001.jpg
case_images: F1
case_images: The implant site preparation was completed at a depth of 10.5 mm [Figure 1c]. Final insertion was done using a torque ratchet with an insertion torque of 30 Ncm [Figure 1d].
case_images: PMC9030309_02
case_images: (a) Missing maxillary right lateral incisor region. (b) Cone-beam computed tomography scan. (c) Evaluation with paralleling depth pins. (d) Final insertion
case_images: CCD-13-95-g001.jpg
case_images: PMC9030309_02_CCD-13-95-g001.jpg
case_images: F1
case_images: The implant site preparation was completed at a depth of 10.5 mm [Figure 1c]. Final insertion was done using a torque ratchet with an insertion torque of 30 Ncm [Figure 1d].
case_images: (a) Midline vertical incision. (b) Particulate bone graft. (c) Compaction on the defect site. (d) Partial thickness horizontal incision
case_images: CCD-13-95-g002.jpg
case_images: PMC9030309_02_CCD-13-95-g002.jpg
case_images: F2
case_images: In the attached gingiva, a midline vertical release incision [Figure 2a] was performed to get access to the donor site extending from distal sides of both the canines. Particulate bone graft material was taken from mandibular symphysis region [Figure 2b] and compacted on the defect site [Figure 2c]. A partial-thickness horizontal incision [Figure 2d] was made on the palatal aspect of the ridge from central incisor to canine.
case_images: (a) Oblique incision from mesial line angle extending from right canine to second premolar. (b and c) Placement of horizontal mattress sutures. (d) Essex appliance
case_images: CCD-13-95-g003.jpg
case_images: PMC9030309_02_CCD-13-95-g003.jpg
case_images: F3
case_images: From the horizontal incision line, an oblique incision was placed from mesial line angle of right canine to second premolar [Figure 3a]. Horizontal mattress sutures were placed on the donor and defect site [Figure 3b and c]. A prefabricated Essex appliance made of vacuum-formed sheet and artificial lateral incisor [Figure 3d] was inserted in the patient's mouth.
case_images: (a) Postoperative evaluation after six months of healing. (b) Periapical radiograph 12 region. (c) Placement of healing abutment. (d) Provisional crown
case_images: CCD-13-95-g004.jpg
case_images: PMC9030309_02_CCD-13-95-g004.jpg
case_images: F4
case_images: Three-month postoperative evaluation showed a considerable amount of ridge thickness with soft tissue emergence profile [Figure 4a], with no postoperative complications which have been assessed with a periapical radiograph [Figure 4b]. A second-stage surgery was performed after 6 months for exposure of the permucosal element and placement of a healing abutment to recontour the emergence profile [Figure 4c]. After 10 days, a provisional crown [Figure 4d] was given.
case_images: (a) Milling of titanium abutment and preparation of adjacent central incisor. (b) Final impression. (c) Metal coping trial. (d) Final prostheses
case_images: CCD-13-95-g005.jpg
case_images: PMC9030309_02_CCD-13-95-g005.jpg
case_images: F5
case_images: The adjacent root canal-treated central incisor was prepared for porcelain fused to metal crown, and simultaneously, the titanium abutment was milled and adjusted for the lateral incisor [Figure 5a]. Impression was obtained from an open tray method [Figure 5b]. After metal coping trial [Figure 5c], final prosthesis was delivered with desirable esthetics and accurate fit [Figure 5d].