Implant Placement In Aesthetic Area With GBR

The patient came to our attention with the specific request to restore the aesthetic of her smile ruined by the missing of element 12. Therefore to perform the replacement of the anterior tooth we had to take in great consideration the highly aesthetical area and her very young age. We evaluater 3 treatment options: provide the patient with a partial denture, but due to her very young age did not seem the best way to pursue or  prepare a fixed bridge,(3 units ,cantilever and/or Maryland) or insert an implant to provide her a comfortable solution to restore her self-confidence.

As the patient’s preference has been the insertion of an implant we plannes a two-stage delayed loading protocol treatment plan that involved guided bone regeneration (GBR) bone graft plus restorable membrane and the insertion of a Dura-vit B&B tapered dental implant-Ø 3.5, L 14mm.

We performed the surgery taking intraoral x-rays of the drills to assest the correct directioning of the instruments. After implant insertion we added bone grafting material which we covered with a collagen membrane fixed with absorbable suture thread.