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    • Horizontal bone augmentation and simultaneous implant placement using periosteal pocket flap technique - two stage surgical approach.

    • cover image
    • CBCT scan of the initial situation displays horizontal bone deficiency of the alveolar ridge
    • Alveolar ridge after osteotomy preparation for a implant and cortical bone perforations
    • Implant placement. Note exposed implant threads and absence of the sufficient amount of buccal peri-implant bone
    • The Evolution membrane has been adapted and stabilised at the top with the cover screw of the secondary prosthetic platform
    • Mixture of the Gen-Os® a and autologous bone
    • Bone augmentation with Gen-Os®. Second layer of the Evolution membrane (arrow). The flap design results in a periosteal pocket formation, which allows that the graft-membrane complex was covered with periosteum and stabilised with periosteal sutures
    • Suturing
    • Second stage surgery. Situation after 5 months of healing.
    • Comparison
    • Soft tissue augmentation using connective tissue graft for a buccal and lingual flap
    • Soft tissue reconstruction with anatomical healing abutment and 3 pieces of connective tissue graft
    • Emergence profile after 4 weeks
    • Definitive all-ceramic restoration
    • Definitive all-ceramic restoration and natural tooth-like gingival contour
    • Clinical indication: dehiscences and fenestrations
    • Products : Evolution, Gen-Os®
    • Authors : Dr. Matej Kuliš
    • Information about patient: Female, 40 years old
    • Credits : Documentation provided by Dr Matej Kuliš, Private practice, Slovenia
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