case_images: PMC4974829_01
case_images: Defect limited exclusively to the bucco-lingual direction with concavity due to bone loss.
case_images: TODENTJ-10-367_F1.jpg
case_images: PMC4974829_01_TODENTJ-10-367_F1.jpg
case_images: F1
case_images: Clinical and Radiographic images were taken pre-operatively (Figs. 1-2).
case_images: Initial periapical radiograph of the case with normal ridge height.
case_images: TODENTJ-10-367_F2.jpg
case_images: PMC4974829_01_TODENTJ-10-367_F2.jpg
case_images: F2
case_images: Clinical and Radiographic images were taken pre-operatively (Figs. 1-2).
case_images: Osteotomy preparation with osteotome technique.
case_images: TODENTJ-10-367_F3.jpg
case_images: PMC4974829_01_TODENTJ-10-367_F3.jpg
case_images: F3
case_images: Because there was a degree of resistance, the ridge was allowed to spread for 30 to 60 seconds with the osteotome left in place before the next-size-larger osteotome was used (Fig. 3).
case_images: The final diameter of the imlant bed was established and the crestal bone thickness reached 6.35 mm bucco-lingually.
case_images: TODENTJ-10-367_F4.jpg
case_images: PMC4974829_01_TODENTJ-10-367_F4.jpg
case_images: F4
case_images: After the final diameter of the implant bed was established and the crestal bone thickness reached 6.35 mm (Fig. 4), a 10-mm-long, 4.1-mm-diameter standard-neck, nonsubmerged sandblasted and acid-etched (SLA) screw-type ITI implant (Straumann Ch Company of Basel, Switzerland) was immediately placed after the bone expansion was completed and a healing abutment 2 mm in height was added (Fig. 5) Leaving the osteotomy slightly narrower than the diameter of the implant allowed the implant to self-tap and achieve good primary stability.
case_images: Implant in position with healing abutment 2 mm in height was placed at the implant installation.
case_images: TODENTJ-10-367_F5.jpg
case_images: PMC4974829_01_TODENTJ-10-367_F5.jpg
case_images: F5
case_images: After the final diameter of the implant bed was established and the crestal bone thickness reached 6.35 mm (Fig. 4), a 10-mm-long, 4.1-mm-diameter standard-neck, nonsubmerged sandblasted and acid-etched (SLA) screw-type ITI implant (Straumann Ch Company of Basel, Switzerland) was immediately placed after the bone expansion was completed and a healing abutment 2 mm in height was added (Fig. 5) Leaving the osteotomy slightly narrower than the diameter of the implant allowed the implant to self-tap and achieve good primary stability.
case_images: Periapical radiograph immediately after implant insertion.
case_images: TODENTJ-10-367_F6.jpg
case_images: PMC4974829_01_TODENTJ-10-367_F6.jpg
case_images: F6
case_images: The implant position was visible on periapical radiograph immediately after implant insertion (Fig. 6).
case_images: Intraloral view after 6 weeks of healing with good soft-tissue healing.
case_images: TODENTJ-10-367_F7.jpg
case_images: PMC4974829_01_TODENTJ-10-367_F7.jpg
case_images: F7
case_images: Six weeks postsurgery, the patient showed good soft-tissue healing (Fig. 7).
case_images: Prepared abutment in place.
case_images: TODENTJ-10-367_F8.jpg
case_images: PMC4974829_01_TODENTJ-10-367_F8.jpg
case_images: F8
case_images: A prosthetic abutment was inserted with 35 Ncm of torque, and the reconstruction was issued (Fig. 8).
case_images: Final prosthesis in place.
case_images: TODENTJ-10-367_F9.jpg
case_images: PMC4974829_01_TODENTJ-10-367_F9.jpg
case_images: F9
case_images: The implant was loaded and restored with a porcelain-metal retainer (Fig. 9).
case_images: Preiapical radiograph showing the implant and surrounding bone one year after the restoration and functional loading of the implant.
case_images: TODENTJ-10-367_F10.jpg
case_images: PMC4974829_01_TODENTJ-10-367_F10.jpg
case_images: F10
case_images: A radiograph taken at 12 months showed a stable clinical situation in the area around the apices of the implant (Fig. 10).