07/10/2026
A crown that doesnโt fit is not a crown problem for long.
Poor fit. Peri-implantitis. An implant removed with calculus covering the threads.
Walk away from that site โ and what youโre left with isnโt a socket. Itโs a collapsed ridge, a missing buccal plate, and nowhere to place an implant.
So we rebuilt it. ๐ฆท
Flap raised. Defect visualised. Measured โ not eyeballed.
A titanium tenting plate fixed to the ridge to create and maintain the space. Particulate graft packed around and beneath it, built beyond the final contour.
An Ossix Plus membrane placed over the graft as the barrier, cut at the midline and folded over.
Then came the part that often decides whether GBR succeeds or fails:
Closure.
A rotated palatal flap over a connective tissue graft, secured with an apical suture and sling suture.
Because the graft isnโt the whole story.
Space. Stability. Closure.
Then six months of doing absolutely nothing.
Part 2 is the re-entry โ and what the bone actually did.
Swipe through all 17 steps of the case. ๐
Want to get hands-on with the principles behind it?
GBR Course | 23โ24 October | Cape Town
Space-making, graft stability, membrane management and predictable closure โ worked through clinically and hands-on.
Last seats available.
๐ Book via the link in bio.