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Miguel Stanley

Lisbon, Portugal

Clinical case description:

Female patient, 35 years old shows a necrosis site caused by an iatrogenic frenectomy. GBR surgery was performed and the necrotic tissue removed. It was used Geistlich Bio-Oss® particulate bone and Geistlich Bio-Gide® membrane stabilized with the help of a fixation pin. Primary wound closure was achieved. After 6 months of healing period, orthodontic extrusion for tissue enhancement was performed. Finally ceramic crowns were placed to achieve a satisfactory aesthetic outcome. The last picture is a 7 year follow up.

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<p>Initial Situation: bone and tissue necrosis around teeth 11 and 21 caused by an iatrogenic frenectomy</p>

Initial Situation: bone and tissue necrosis around teeth 11 and 21 caused by an iatrogenic frenectomy

<p>GBR surgery using Geistlich Bio-Oss<sup>®</sup> and Geistlich Bio-Gide<sup>®</sup> to reduce the bone defect</p>

GBR surgery using Geistlich Bio-Oss® and Geistlich Bio-Gide® to reduce the bone defect

<p>Successful GBR after 1 year</p>

Successful GBR after 1 year

<p>7 year follow up</p>

7 year follow up

Pre-surgery


					<p>Initial Situation: bone and tissue necrosis around teeth 11 and 21 caused by an iatrogenic frenectomy</p>

Surgery


					<p>GBR surgery using Geistlich Bio-Oss<sup>®</sup> and Geistlich Bio-Gide<sup>®</sup> to reduce the bone defect</p>

Outcome


					<p>Successful GBR after 1 year</p>

Follow-up after at least 6 months


					<p>7 year follow up</p>