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Carmen Carnicero Santiago

Bilbao, Spain

Clinical case description:

1. Corticotomy: The most important factors in the success of this technique is proper case selection and careful surgical and orthodontic treatment

2. Full thickness flap is reflected on buccal aspect beyond the apices of the teeth. Vertical corticotomy cuts are made between the roots stoping just short of alveolar crest. The cuts are connected beyond the apices of the teeth with scalloped horizontal cut.

3. Bone graft is applied directly over the bone cuts. Barrier membrane and bone graft as bone substitute materials are placed to accelerate bone formation.

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<p>Pre - surgery</p>

Pre - surgery

<p>Piezosurgery picture</p>

Piezosurgery picture

<p>Surgical picture using Geistlich Biomaterials</p>

Surgical picture using Geistlich Biomaterials

<p>follow up 6 months</p>

follow up 6 months

Pre-surgery


					<p>Pre - surgery</p>

Surgery


					<p>Piezosurgery picture</p>

Outcome


					<p>Surgical picture using Geistlich Biomaterials</p>

Follow-up after at least 6 months


					<p>follow up 6 months</p>