15/05/2026
The patient presented with advanced periodontal disease and significant mobility in the anterior region. The prognosis of the affected teeth was hopeless.
As an initial phase, we performed splinting and periodontal therapy to stabilize the anterior segment and reduce the mechanical stress caused by occlusal and extraoral forces. Once periodontal stabilization was achieved, the hopeless teeth were extracted, and collagen plugs were placed to support clot stability and early soft-tissue healing.
After seven weeks, we proceeded with guided bone regeneration using a custom titanium mesh and xenograft.
The advantage of performing GBR 7–9 weeks after extraction is that we work within a favorable biological window.
At this stage, the soft tissues have had time to close and mature, inflammation has reduced, and early vascularization has developed. This gives us better flap management, improved wound stability, and more predictable coverage of the regenerative material.
At the same time, we are not waiting so long that the ridge has undergone advanced collapse. This timing helps balance soft-tissue healing with preservation of the remaining bone volume, creating a more stable environment for guided bone regeneration with custom titanium mesh and xenograft.
