case_images: PMC10882217_01
case_images: Edentulous ridge in the posterior region with missing teeth (35, 36, and 37)
case_images: cureus-0016-00000052764-i01.jpg
case_images: PMC10882217_01_cureus-0016-00000052764-i01.jpg
case_images: FIG1
case_images: Comprehensive oral examination revealed narrow edentulous ridges in the mandibular posterior region with the absence of teeth (35, 36, and 37) (Figure 1), which was further confirmed by extensive radiographic evaluation through CT.
case_images: PMC10882217_02
case_images: Pre-operative computer tomography (CT) image
case_images: cureus-0016-00000052764-i02.jpg
case_images: PMC10882217_02_cureus-0016-00000052764-i02.jpg
case_images: FIG2
case_images: The pre-operative CT images revealed a narrow mandibular ridge in the posterior region (Figure 2).
case_images: PMC10882217_03
case_images: Surgical incision around the edentulous area and neighboring teeth
case_images: cureus-0016-00000052764-i03.jpg
case_images: PMC10882217_03_cureus-0016-00000052764-i03.jpg
case_images: FIG3
case_images: A sharp palatal to mid-crestal incision was given to raise a full-thickness flap that encircled the neighboring teeth, reaching approximately 3-4 mm in distance (Figure 3).
case_images: Flap elevation and exposure of buccal bone surface by using a chisel
case_images: cureus-0016-00000052764-i04.jpg
case_images: PMC10882217_03_cureus-0016-00000052764-i04.jpg
case_images: FIG4
case_images: Following that, the surgical cut proceeded to penetrate farther, revealing the outside surface that covered the buccal bone, resulting in the complete depth of the flap (Figure 4).
case_images: Corticotomy and extension of keratinized mucosal coverage
case_images: cureus-0016-00000052764-i05.jpg
case_images: PMC10882217_03_cureus-0016-00000052764-i05.jpg
case_images: FIG5
case_images: Subsequently, flaps were apically repositioned with interrupted suturing with 3.0 silk (Ethicon Mersilk, Ethicon Inc., Raritan, New Jersey) and anchored at the periosteum layer, therefore increasing the extent of keratinized mucosal covering (Figure 5).
case_images: Implant placement in buccal and lingual bone
case_images: cureus-0016-00000052764-i06.jpg
case_images: PMC10882217_03_cureus-0016-00000052764-i06.jpg
case_images: FIG6
case_images: Subsequently, three implants (3.75 mm in diameter x 11.5 mm in length) were carefully inserted into the interstices that demarcate the buccal and lingual bone boundaries (Figure 6).
case_images: Intraoral periapical radiography of the mandibular region with implants
case_images: cureus-0016-00000052764-i07.jpg
case_images: PMC10882217_03_cureus-0016-00000052764-i07.jpg
case_images: FIG7
case_images: Variation in buccal bone widths and observed cavities near the anchor point
case_images: cureus-0016-00000052764-i08.jpg
case_images: PMC10882217_03_cureus-0016-00000052764-i08.jpg
case_images: FIG8
case_images: This information is visually shown in Figure 8.