EC Dental Science

Objective: A successful implant is largely dependent on support received by hard and soft tissues around it, some anatomic structures can however cause hindrance. Both horizontal and vertical bone augmentation can be helpful in achieving osseointegration around implants. Thus, this case study aims to report a case wherein cortical FDBA block graft has been used to regenerate bone using different incision designs to maximize soft tissue coverage after grafting.

Materials and Methods: A 30 year old male patient reported with grossly decayed tooth, with a keratinized tissue width of 1.5 mm. The treatment was planned with tooth extraction (#16) and placement of cortical block graft in the area with immediate root form implant placement. Patient was recalled after 1 week for suture removal and re-enforcement of post-operative instructions. Implant site was surgically exposed at 5 months and a gingival former was placed while a final prosthesis was given after 5 months.

Results: The 5 months post-op follow-up was satisfactory. Radiographically implant appeared to be well osseointegrated with a moderate density of bone around the area. The soft tissue collar was healthy with no signs of inflammation or peri-implantitis.

Conclusion: Immediate implant placement along with ridge augmentation is a viable option.

 Keywords: Block Graft; Immediate Implant; Inadequate Keratinized Gingiva

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