Background
Rehabilitation of type II socket defects in the esthetic zone are considered quite achallenge. Socket preservation, delayed immediate implant placement or evenconventional healing post extraction and then two phase hard tissue reconstructionfollowed by implant placement are all documented treatment modalities in theliterature.Decreasing the total treatment time, post-operative pain and swelling, number of visitswith a final high esthetic outcome is the patient's prime concern, which if matchedwith high prognosis would definitely serve the practitioner's goals.
Aims
The bone ring technique was developed to augment the deficient hard tissue while supporting such ring via the final implant decreasing the procedures attempted and overall healing time. With the introduction of the palatal bone harvesting techniques, same site harvesting and augmentation surgery is applicable.
Methods
A 53 years old female patient was presented with hopeless tooth number 11 with a normal lip line smile level. After 3 months of oral health stability and extensive diagnosis of the assigned tooth, extraction and immediate implant placement via a palatal ring bone block for hard tissue reconstruction of the deficient socket, supported by a connective tissue graft under the buccal flap to improve the soft tissue biotype and final prosthetic outcome was performed. Second stage surgery was performed 4 months post operatively, with evidence of successful osseointegration clinically and radiographically. A temporary abutment and crown were used until the final customized zirconia abutment and crown were inserted. A CBCT scan 8 months post loading was performed.
Results
In the previous presented case, the final clinical outcome in terms of hard tissue augmentation, implant osseointegration and soft tissue thickness and color are all satisfactory. The only problem encountered was the implant palatal angulation for fixating the ring block by engaging in the recipient site palatal bone. This was reflected in the final prosthesis with a pink porcelain cervical border, which could be fixed in the future with soft tissue enhancement procedure9. In terms of patient centered outcomes, the patient was very pleased and satisfied with the treatment healing (pain, swelling and total number of visits) and the treatment final outcome (esthetics and financial burden).
Conclusions
Such technique is recommended in patients with low or normal smile lines, which have normal to thick soft tissue biotypes.
Background
Rehabilitation of type II socket defects in the esthetic zone are considered quite achallenge. Socket preservation, delayed immediate implant placement or evenconventional healing post extraction and then two phase hard tissue reconstructionfollowed by implant placement are all documented treatment modalities in theliterature.Decreasing the total treatment time, post-operative pain and swelling, number of visitswith a final high esthetic outcome is the patient's prime concern, which if matchedwith high prognosis would definitely serve the practitioner's goals.
Aims
The bone ring technique was developed to augment the deficient hard tissue while supporting such ring via the final implant decreasing the procedures attempted and overall healing time. With the introduction of the palatal bone harvesting techniques, same site harvesting and augmentation surgery is applicable.
Methods
A 53 years old female patient was presented with hopeless tooth number 11 with a normal lip line smile level. After 3 months of oral health stability and extensive diagnosis of the assigned tooth, extraction and immediate implant placement via a palatal ring bone block for hard tissue reconstruction of the deficient socket, supported by a connective tissue graft under the buccal flap to improve the soft tissue biotype and final prosthetic outcome was performed. Second stage surgery was performed 4 months post operatively, with evidence of successful osseointegration clinically and radiographically. A temporary abutment and crown were used until the final customized zirconia abutment and crown were inserted. A CBCT scan 8 months post loading was performed.
Results
In the previous presented case, the final clinical outcome in terms of hard tissue augmentation, implant osseointegration and soft tissue thickness and color are all satisfactory. The only problem encountered was the implant palatal angulation for fixating the ring block by engaging in the recipient site palatal bone. This was reflected in the final prosthesis with a pink porcelain cervical border, which could be fixed in the future with soft tissue enhancement procedure9. In terms of patient centered outcomes, the patient was very pleased and satisfied with the treatment healing (pain, swelling and total number of visits) and the treatment final outcome (esthetics and financial burden).
Conclusions
Such technique is recommended in patients with low or normal smile lines, which have normal to thick soft tissue biotypes.
Background
Rehabilitation of type II socket defects in the esthetic zone are considered quite achallenge. Socket preservation, delayed immediate implant placement or evenconventional healing post extraction and then two phase hard tissue reconstructionfollowed by implant placement are all documented treatment modalities in theliterature.Decreasing the total treatment time, post-operative pain and swelling, number of visitswith a final high esthetic outcome is the patient's prime concern, which if matchedwith high prognosis would definitely serve the practitioner's goals.
Aims
The bone ring technique was developed to augment the deficient hard tissue while supporting such ring via the final implant decreasing the procedures attempted and overall healing time. With the introduction of the palatal bone harvesting techniques, same site harvesting and augmentation surgery is applicable.
Methods
A 53 years old female patient was presented with hopeless tooth number 11 with a normal lip line smile level. After 3 months of oral health stability and extensive diagnosis of the assigned tooth, extraction and immediate implant placement via a palatal ring bone block for hard tissue reconstruction of the deficient socket, supported by a connective tissue graft under the buccal flap to improve the soft tissue biotype and final prosthetic outcome was performed. Second stage surgery was performed 4 months post operatively, with evidence of successful osseointegration clinically and radiographically. A temporary abutment and crown were used until the final customized zirconia abutment and crown were inserted. A CBCT scan 8 months post loading was performed.
Results
In the previous presented case, the final clinical outcome in terms of hard tissue augmentation, implant osseointegration and soft tissue thickness and color are all satisfactory. The only problem encountered was the implant palatal angulation for fixating the ring block by engaging in the recipient site palatal bone. This was reflected in the final prosthesis with a pink porcelain cervical border, which could be fixed in the future with soft tissue enhancement procedure9. In terms of patient centered outcomes, the patient was very pleased and satisfied with the treatment healing (pain, swelling and total number of visits) and the treatment final outcome (esthetics and financial burden).
Conclusions
Such technique is recommended in patients with low or normal smile lines, which have normal to thick soft tissue biotypes.
Background
Rehabilitation of type II socket defects in the esthetic zone are considered quite achallenge. Socket preservation, delayed immediate implant placement or evenconventional healing post extraction and then two phase hard tissue reconstructionfollowed by implant placement are all documented treatment modalities in theliterature.Decreasing the total treatment time, post-operative pain and swelling, number of visitswith a final high esthetic outcome is the patient's prime concern, which if matchedwith high prognosis would definitely serve the practitioner's goals.
Aims
The bone ring technique was developed to augment the deficient hard tissue while supporting such ring via the final implant decreasing the procedures attempted and overall healing time. With the introduction of the palatal bone harvesting techniques, same site harvesting and augmentation surgery is applicable.
Methods
A 53 years old female patient was presented with hopeless tooth number 11 with a normal lip line smile level. After 3 months of oral health stability and extensive diagnosis of the assigned tooth, extraction and immediate implant placement via a palatal ring bone block for hard tissue reconstruction of the deficient socket, supported by a connective tissue graft under the buccal flap to improve the soft tissue biotype and final prosthetic outcome was performed. Second stage surgery was performed 4 months post operatively, with evidence of successful osseointegration clinically and radiographically. A temporary abutment and crown were used until the final customized zirconia abutment and crown were inserted. A CBCT scan 8 months post loading was performed.
Results
In the previous presented case, the final clinical outcome in terms of hard tissue augmentation, implant osseointegration and soft tissue thickness and color are all satisfactory. The only problem encountered was the implant palatal angulation for fixating the ring block by engaging in the recipient site palatal bone. This was reflected in the final prosthesis with a pink porcelain cervical border, which could be fixed in the future with soft tissue enhancement procedure9. In terms of patient centered outcomes, the patient was very pleased and satisfied with the treatment healing (pain, swelling and total number of visits) and the treatment final outcome (esthetics and financial burden).
Conclusions
Such technique is recommended in patients with low or normal smile lines, which have normal to thick soft tissue biotypes.