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Célia Coutinho Alves

Porto, Portugal

Clinical case description:

›› Maintain hard and soft-tissue contour in aesthetically demanding Region.

›› Late implant placement in single tooth gap.

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<p>Initial situation before removal of tooth 21.</p>

Initial situation before removal of tooth 21.

<p>Geistlich Bio-Oss<sup>®</sup> (small granules) are packed on top of Geistlich Bio-Oss<sup>®</sup> Collagen up to soft-tissue level.</p>

Geistlich Bio-Oss® (small granules) are packed on top of Geistlich Bio-Oss® Collagen up to soft-tissue level.

<p>The collagen membrane is folded over the filled socket, adapted under the palatinal sulcus, fixed with vertical mattress sutures and heals by secondary intention.</p>

The collagen membrane is folded over the filled socket, adapted under the palatinal sulcus, fixed with vertical mattress sutures and heals by secondary intention.

<p>Loading of the implant with the final restoration 7 months after implant placement (11 months after extraction).</p>

Loading of the implant with the final restoration 7 months after implant placement (11 months after extraction).

Pre-surgery


					<p>Initial situation before removal of tooth 21.</p>

Surgery


					<p>Geistlich Bio-Oss<sup>®</sup> (small granules) are packed on top of Geistlich Bio-Oss<sup>®</sup> Collagen up to soft-tissue level.</p>

Outcome


					<p>The collagen membrane is folded over the filled socket, adapted under the palatinal sulcus, fixed with vertical mattress sutures and heals by secondary intention.</p>

Follow-up after at least 6 months


					<p>Loading of the implant with the final restoration 7 months after implant placement (11 months after extraction).</p>