10/10/2026
Resorbed ridge. Rebuilt. Restored. 🦴🦷
Swipe through this LR4 case from surgery to the final screw-retained crown.
🔍 The Case:
The LR4 was lost to resorption and extracted in 2025. The practice principal then kindly referred this case to me. A word to the wise - don't own cats 🐈 (only half joking, von Arx and colleagues did float the link to cervical resorption).
The ridge needed more volume to get the implant where the crown needed it, so the plan was placement with simultaneous GBR.
🛠️ Surgery:
1️⃣ Full-thickness envelope flap from the distal of LR7, with a single release mesial to LR3.
2️⃣ Hiossen Implant ET III SA Regular 4.0 x 10 mm placed freehand at 35 Ncm.
3️⃣ Geistlich UK Bio-Oss and Bio-Gide to rebuild the buccal contour, then primary closure.
4️⃣ Sutures out at 2 weeks, then 16 weeks submerged to let the graft mature.
🌱 Second Stage:
5️⃣ Uncovery with a roll flap. Four weeks later the mucosa was healthy and well adapted.
🦷 Restorative:
6️⃣ Shade and a scan-body scan.
7️⃣ Screw-retained crown. Some blanching on seating, which settled within 3 minutes.
8️⃣ Access filled with Solventum Dental UK Filtek Easy Match Flowable in Warm.
⏳ Let's see how it looks at the one-year review.
💡 Tip: Don't throw tissue away at second stage. A roll flap bulls out the peri-implant mucosa, right where the implant needs it most.
Special thanks to maestro .marioveltri, a true gentleman and an exceptionally skilled clinician, for his generous guidance and support throughout this case. 🙏
