ANTONIO J. FLICHY
Doctor of Dental Medicine | Master’s Degree in Surgery and Implants from the University of Valencia | Assistant professor at various universities | Assistant professor for the Oral Surgery and Implantology Postgraduate Degree at SCOE | Author of studies published in journals indexed in PubMed | Speaker at national and international events on Oral Surgery and Implantology
BLOCK BONE GRAFT FOR SEVERE ATROPHIC DEFECT IN ANTERIOR SECTOR WITH SIMULTANEOUS PLACEMENT OF IMPLANT AND CAD/CAM RESTORATION
The patient was missing tooth 21 with a large buccal bone defect. A block bone graft was performed with bone taken from the adjacent apical region. Prior to fixation, a Ticare InHex implant was placed. The graft was fixed with screws, the gaps were filled with autologous bone fragments and the entire area was covered with a collagen membrane. The wound was sutured with monofilament material without tension. After 6 months of follow-up, optimal integration of the block bone graft was observed at re-entry, correcting the defect and even covering the implant closure plug with autologous bone. The flap was moved vestibularly to restore the soft tissue after placement of the healing abutment. The implant was restored using a Bio-CAM screw-retained implant with perfect seating of the conical connection with gapZero and correct positioning of the soft tissue, interproximal papillae and emergence profiles. After 2 years of follow-up, stability with no marginal bone loss was observed on the check-up X-ray.