case_images: PMC8612795_01
case_images: (a) Frontal area of the upper jaw. (b) After removal of metal-ceramic crowns. (c) Periapical X-ray of the tooth 11.
case_images: CRID2021-5737665.001.jpg
case_images: PMC8612795_01_CRID2021-5737665.001.jpg
case_images: fig1
case_images: An excess of root filling material was detected beyond the apex (Figure 1).
case_images: (a) Situation after tooth extraction. (b) Extracted tooth 11.
case_images: CRID2021-5737665.002.jpg
case_images: PMC8612795_01_CRID2021-5737665.002.jpg
case_images: fig2
case_images: Atraumatic extraction of the tooth was implemented (Figure 2).
case_images: (a) Insertion of Bio-Oss collagen in a dry form. (b) The alveolus is completely packed with the material. (c) A resorbable membrane is laid, and stabilizing sutures are applied.
case_images: CRID2021-5737665.003.jpg
case_images: PMC8612795_01_CRID2021-5737665.003.jpg
case_images: fig3
case_images: The bone-substitute material was covered with a Bio-Gide native resorbable collagen membrane (Geistlich Pharma AG), which was fixed by Prolene monofilament 6-0 cross suture (Ethicon W8005, Johnson & Johnson) (Figure 3).
case_images: (a, b) 4 months after the operation. (c) After the removal of the temporary appliance, a change in the contour of the crest in the vestibular-oral direction.
case_images: CRID2021-5737665.004.jpg
case_images: PMC8612795_01_CRID2021-5737665.004.jpg
case_images: fig4
case_images: However, soft tissue deficiency was found in the area of the 11 tooth socket on the vestibular surface (Figure 4).
case_images: (a) The mucoperiosteal flap is detached. (b) The implant bed preparation. (c) The implant placement.
case_images: CRID2021-5737665.005.jpg
case_images: PMC8612795_01_CRID2021-5737665.005.jpg
case_images: fig5
case_images: Tech dental implant (Dentsply Sirona, York, Pennsylvania) 3.5 x 11 was placed at the site of the extracted tooth 11. The implant insertion torque was 35 N/cm; the implant stability quotient (ISQ) value was 60 (Figure 5).
case_images: (a) Fixation of free connective tissue grafts from the maxillary tuberosity. (b) Final suturing.
case_images: CRID2021-5737665.006.jpg
case_images: PMC8612795_01_CRID2021-5737665.006.jpg
case_images: fig6
case_images: (a) Appearance of the alveolar crest 14 days after surgery. (b) 3 months after surgery.
case_images: CRID2021-5737665.007.jpg
case_images: PMC8612795_01_CRID2021-5737665.007.jpg
case_images: fig7
case_images: However, at 3 months postsurgery, the soft tissue volume of the vestibular surface was not sufficient (Figure 7).
case_images: (a) Deepithelization of the free connective tissue graft from the hard palate. (b) Projection of the graft on the formed tunnel from the vestibular surface. (c) The graft is placed in the formed bed; the wound is sutured.
case_images: CRID2021-5737665.008.jpg
case_images: PMC8612795_01_CRID2021-5737665.008.jpg
case_images: fig8
case_images: After that, healing abutment was performed; simple interrupted sutures were applied (Ethicon W8005, Johnson & Johnson) (Figure 8).
case_images: (a) Condition of soft tissues at the beginning of the prostheses stage. (b) Fixation of the individual zirconium abutment. (c) Final restoration.
case_images: CRID2021-5737665.009.jpg
case_images: PMC8612795_01_CRID2021-5737665.009.jpg
case_images: fig9
case_images: Paul, MN, USA) using a rubber dam (Figure 9).
case_images: (a) 7 years after the treatment. (b) Stable volume of bone tissue.
case_images: CRID2021-5737665.010.jpg
case_images: PMC8612795_01_CRID2021-5737665.010.jpg
case_images: fig10
case_images: The soft tissues were completely healthy at the follow-up time (Figure 10).