case_images: PMC5387826_01
case_images: Anterior clinical view showing the extrusion of the teeth 12, 22. Aggressive periodontitis.
case_images: CRID2017-2639564.001.jpg
case_images: PMC5387826_01_CRID2017-2639564.001.jpg
case_images: fig1
case_images: A 34-year-old female in good general health, nonsmoker, with a history of aggressive periodontitis was referred for evaluation and treatment (Figure 1).
case_images: Full mouth radiographs demonstrating generalized severe horizontal and angular bone loss.
case_images: CRID2017-2639564.002.jpg
case_images: PMC5387826_01_CRID2017-2639564.002.jpg
case_images: fig2
case_images: The maxillary incisors had severe bone loss with hopeless prognosis (Figure 2).
case_images: Vertical and horizontal bone defect after extraction of 12.
case_images: CRID2017-2639564.003.jpg
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case_images: fig3
case_images: Insufficient bone.
case_images: CRID2017-2639564.004.jpg
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case_images: fig4
case_images: The MPM is deposited in a sterile gauze.
case_images: CRID2017-2639564.005.jpg
case_images: PMC5387826_01_CRID2017-2639564.005.jpg
case_images: fig5
case_images: The whole preparation was mixed for few seconds and the MPM was obtained (Figures 5 and 6).
case_images: The MPM is compressed to obtain a PRF like membrane.
case_images: CRID2017-2639564.006.jpg
case_images: PMC5387826_01_CRID2017-2639564.006.jpg
case_images: fig6
case_images: The whole preparation was mixed for few seconds and the MPM was obtained (Figures 5 and 6).
case_images: Implant placement in a narrow bone crest.
case_images: CRID2017-2639564.007.jpg
case_images: PMC5387826_01_CRID2017-2639564.007.jpg
case_images: fig7
case_images: After placing the implant (Figure 7), the MPM and its membrane were placed to correct the bone defect.
case_images: The MPM is placed around the implant.
case_images: CRID2017-2639564.008.jpg
case_images: PMC5387826_01_CRID2017-2639564.008.jpg
case_images: fig8
case_images: The implant was completely covered by the modified MPM and sutures were performed (Figure 8).
case_images: Occlusal view after 4 months' healing showing a good vestibular volume.
case_images: CRID2017-2639564.009.jpg
case_images: PMC5387826_01_CRID2017-2639564.009.jpg
case_images: fig9
case_images: After 4 months of healing a good vestibular volume was acquired (Figure 9).
case_images: The temporary crown on the 12.
case_images: CRID2017-2639564.010.jpg
case_images: PMC5387826_01_CRID2017-2639564.010.jpg
case_images: fig10
case_images: Then the second-stage surgery was done and the temporary crown was placed on the 12 (Figures 10 and 11).
case_images: A radiograph showing the implant placement.
case_images: CRID2017-2639564.011.jpg
case_images: PMC5387826_01_CRID2017-2639564.011.jpg
case_images: fig11
case_images: Then the second-stage surgery was done and the temporary crown was placed on the 12 (Figures 10 and 11).
case_images: Osseous bone defect after extraction of the 22.
case_images: CRID2017-2639564.012.jpg
case_images: PMC5387826_01_CRID2017-2639564.012.jpg
case_images: fig12
case_images: After the extraction of the 22 (Figure 12), immediate implant placement was performed, and MPM was placed around the site.
case_images: A radiograph showing the 2 implants replacing the teeth 12, 22.
case_images: CRID2017-2639564.013.jpg
case_images: PMC5387826_01_CRID2017-2639564.013.jpg
case_images: fig13
case_images: A control radiograph showing the position of the implants was taken (Figure 13).
case_images: The final prosthetic rehabilitation.
case_images: CRID2017-2639564.014.jpg
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case_images: fig14
case_images: Final esthetic and functional rehabilitation.
case_images: CRID2017-2639564.015.jpg
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case_images: fig15