case_images: PMC3636934_01
case_images: Pre-operative intraoral periapical radiograph of the edentulous site
case_images: JISP-17-131-g001.jpg
case_images: PMC3636934_01_JISP-17-131-g001.jpg
case_images: F1
case_images: Necessary investigations like complete hemogram, intra-oral periapical (IOPA) radiograph [Figure 1], and computed tomographic (C.T.) scan of the edentulous site were done [Figures 2-4]).
case_images: Computed tomographic scan showing the labio-palatal width of the available bone at the edentulous site
case_images: JISP-17-131-g002.jpg
case_images: PMC3636934_01_JISP-17-131-g002.jpg
case_images: F2
case_images: Necessary investigations like complete hemogram, intra-oral periapical (IOPA) radiograph [Figure 1], and computed tomographic (C.T.) scan of the edentulous site were done [Figures 2-4]). C.T. scan measurements revealed inadequate bone volume labio-palatally to accommodate a standard-diameter implant [Figure 2].
case_images: Computed tomographic scan showing the mesio-distal width of the available bone at the edentulous site
case_images: JISP-17-131-g003.jpg
case_images: PMC3636934_01_JISP-17-131-g003.jpg
case_images: F3
case_images: Necessary investigations like complete hemogram, intra-oral periapical (IOPA) radiograph [Figure 1], and computed tomographic (C.T.) scan of the edentulous site were done [Figures 2-4]).
case_images: Computed tomographic scan showing the height of the available bone at the edentulous site
case_images: JISP-17-131-g004.jpg
case_images: PMC3636934_01_JISP-17-131-g004.jpg
case_images: F4
case_images: Necessary investigations like complete hemogram, intra-oral periapical (IOPA) radiograph [Figure 1], and computed tomographic (C.T.) scan of the edentulous site were done [Figures 2-4]).
case_images: Six-week photograph of the implant
case_images: JISP-17-131-g006.jpg
case_images: PMC3636934_01_JISP-17-131-g006.jpg
case_images: F5
case_images: Intraoral periapical (IOPA) radiograph revealed bone loss on both mesial and distal aspects of the implant [Figures 5 and 6].
case_images: Six-week intraoral periapical radiograph of the implant showing bone loss mesial and distal to the implant
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case_images: PMC3636934_01_JISP-17-131-g007.jpg
case_images: F6
case_images: Intraoral periapical (IOPA) radiograph revealed bone loss on both mesial and distal aspects of the implant [Figures 5 and 6].
case_images: Circumferential defect around the failing implant
case_images: JISP-17-131-g008.jpg
case_images: PMC3636934_01_JISP-17-131-g008.jpg
case_images: F7
case_images: AG, Basel, Switzerland). A circumferential defect with slight buccal bone loss was evident around the implant [Figures 7 and 8].
case_images: Circumferential defect with slight buccal bone loss around the failing implant
case_images: JISP-17-131-g009.jpg
case_images: PMC3636934_01_JISP-17-131-g009.jpg
case_images: F8
case_images: AG, Basel, Switzerland). A circumferential defect with slight buccal bone loss was evident around the implant [Figures 7 and 8].
case_images: Decontamination by supersaturated solution of citric acid
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case_images: PMC3636934_01_JISP-17-131-g010.jpg
case_images: F9
case_images: Next, surface decontamination was done by applying a supersaturated solution of citric acid for 30 s followed by complete rinsing of the site with normal saline [Figure 9].
case_images: PerioGlas  being carried to the peri-implant defect
case_images: JISP-17-131-g011.jpg
case_images: PMC3636934_01_JISP-17-131-g011.jpg
case_images: F10
case_images: The peri-implant defect was filled with PerioGlas  (NovaBone Products, LLC, Alachua, Florida, USA) starting from the bottom of the defect [Figures 10 and 11].
case_images: Peri-implant defect filled with PerioGlas
case_images: JISP-17-131-g012.jpg
case_images: PMC3636934_01_JISP-17-131-g012.jpg
case_images: F11
case_images: The peri-implant defect was filled with PerioGlas  (NovaBone Products, LLC, Alachua, Florida, USA) starting from the bottom of the defect [Figures 10 and 11].
case_images: Trimmed and shaped resorbable collagen membrane (Healiguide )
case_images: JISP-17-131-g013.jpg
case_images: PMC3636934_01_JISP-17-131-g013.jpg
case_images: F12
case_images: Ltd., Chennai, India) was trimmed and adapted over the entire defect so as to cover 2-3 mm of the surrounding alveolar bone and to ensure stability of the graft material [Figures 12 and 13].
case_images: Resorbable collagen membrane (Healiguide ) adapted over the periimplant defect
case_images: JISP-17-131-g014.jpg
case_images: PMC3636934_01_JISP-17-131-g014.jpg
case_images: F13
case_images: Ltd., Chennai, India) was trimmed and adapted over the entire defect so as to cover 2-3 mm of the surrounding alveolar bone and to ensure stability of the graft material [Figures 12 and 13].
case_images: Primary wound closure achieved using non-resorbable 3-0 black braided silk sutures
case_images: JISP-17-131-g015.jpg
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case_images: F14
case_images: India) for 7 days [Figures 14 and 15].
case_images: Surgical area covered with periodontal dressing
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case_images: PMC3636934_01_JISP-17-131-g016.jpg
case_images: F15
case_images: India) for 7 days [Figures 14 and 15].