Protocol for Bone Augmentation with Simultaneous Early Implant Placement: A Retrospective Multicenter Clinical Study

Figure 3

Case  1: a 47-year-old woman with crown and root fracture in the left mandibular first molar. (a) Clinical view of the site after thorough debridement of the socket. (b) Periapical X-ray of the nonrestorable tooth. (c) Implant placement at the correct 3D positioning. ISQ reading was 48. (d) Grafting with β-TCP/CS (Ethoss). (e) Clinical view after 10 weeks. (f) X-ray 10 weeks after implant placement and grafting showing the consolidation of the grafting material around the implant and new bone formation over the implant head and towards the adjacent interproximal heights of bone. (g) At reentry the site is filled with regenerated bone. Note the head of the implant covered by newly formed bone. (h) After removing the supernatant newly formed bone with a round burr implant stability is assessed (ISQ measurement: 78) revealing a significant increase through the 10-week healing period. (i) Maturation of the soft tissues 2 weeks after placement of the healing abutment. (j) X-ray 9 months after loading.

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