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The bone was augmented using 50 % autogenous bone taken from the Ramus of the mandible and 50% allograft mixture. The bone was stabilized using poly(d l-lactic acid) absorbable barriers and type I collagen membrane. A palatal Pedicle graft was used to thicken the tissue in the area.
The patients recession was treated using a tunneling approach and after healing and stability of the tissues ceramic restorations were fabricated and seated for the patient to obtain her desired result.
Patient had a vertical fracture of tooth #10 with missing buccal plate of bone. Case was completed using a staged approach, rebuilding bone with GBR and tissue with tissue taken from tuberosity.
Anterior Immediate extraction and immediate Implants on 7 and 10 with SECTG (gum graft from the palate) to augment the recession. The patients own teeth were hollowed out and used on temporary abutments for the provisional teeth.