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Volume 60
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Case Report

Horizontal Bone Augmentation with Simultaneous Implant Placement in the Aesthetic Region: A Case Report and Review of the Current Evidence

by
Rossana Izzetti
1,†,
Chiara Cinquini
1,2,†,
Fortunato Alfonsi
1,
Marco Nisi
1,
Michele Covelli
3,
Berta Garcia Mira
4,
Mattia Priami
1 and
Antonio Barone
1,*
1
Department of Surgical, Medical, Molecular Pathology and of the Critical Area, University of Pisa, 56126 Pisa, Italy
2
Dental Biomaterials Research Unit, University of Liege, 4020 Liege, Belgium
3
Department of Medicine and Surgery, LUM University, 70010 Bari, Italy
4
Department of Stomatology, University of Valencia, 46010 Valencia, Spain
*
Author to whom correspondence should be addressed.
†
These authors contributed equally to this work.
Medicina 2024, 60(11), 1786; https://doi.org/10.3390/medicina60111786
Submission received: 8 October 2024 / Revised: 29 October 2024 / Accepted: 30 October 2024 / Published: 1 November 2024
(This article belongs to the Special Issue Advances in Soft and Hard Tissue Management Around Dental Implants)
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Abstract

This study aimed to describe a case of simultaneous guided bone regeneration (GBR) and implant placement in a patient with prior aesthetic implant failure, focusing on achieving optimal aesthetic and functional outcomes, and to perform a literature review of the current evidence. A 38-year-old male presented with an improperly positioned implant at the level of the right upper central (tooth 2.1), leading to aesthetic and functional issues. The initial assessment included a panoramic radiograph revealing marginal bone loss and an enlarged peri-implant space, necessitating implant removal. Following implant removal and provisional restoration, the patient was re-evaluated for subsequent therapeutic treatments. The patient underwent orthodontic treatment to improve mesio-distal spacing, followed by surgical intervention involving GBR and simultaneous implant placement. The GBR procedure utilised bone substitutes and resorbable membranes, with soft tissue augmentation conducted subsequently. The surgical intervention involved local anaesthesia, flap design, defect assessment, and palatally oriented implant placement. GBR was then performed. After six months, implant uncovering and soft tissue augmentation were conducted. The implant was loaded with a screwed restoration following complete hard and soft tissue healing. The patient was monitored every six months for two years, then annually. At the 10-year follow-up, no signs of bone resorption or soft tissue inflammation were observed. This case demonstrated that GBR and simultaneous implant placement, with the application of advanced biomaterials, effectively promoted osseointegration and maintained aesthetic and functional stability over a decade.
Keywords: guided bone regeneration; dental implants; biomaterials guided bone regeneration; dental implants; biomaterials

Share and Cite

MDPI and ACS Style

Izzetti, R.; Cinquini, C.; Alfonsi, F.; Nisi, M.; Covelli, M.; Garcia Mira, B.; Priami, M.; Barone, A. Horizontal Bone Augmentation with Simultaneous Implant Placement in the Aesthetic Region: A Case Report and Review of the Current Evidence. Medicina 2024, 60, 1786. https://doi.org/10.3390/medicina60111786

AMA Style

Izzetti R, Cinquini C, Alfonsi F, Nisi M, Covelli M, Garcia Mira B, Priami M, Barone A. Horizontal Bone Augmentation with Simultaneous Implant Placement in the Aesthetic Region: A Case Report and Review of the Current Evidence. Medicina. 2024; 60(11):1786. https://doi.org/10.3390/medicina60111786

Chicago/Turabian Style

Izzetti, Rossana, Chiara Cinquini, Fortunato Alfonsi, Marco Nisi, Michele Covelli, Berta Garcia Mira, Mattia Priami, and Antonio Barone. 2024. "Horizontal Bone Augmentation with Simultaneous Implant Placement in the Aesthetic Region: A Case Report and Review of the Current Evidence" Medicina 60, no. 11: 1786. https://doi.org/10.3390/medicina60111786

APA Style

Izzetti, R., Cinquini, C., Alfonsi, F., Nisi, M., Covelli, M., Garcia Mira, B., Priami, M., & Barone, A. (2024). Horizontal Bone Augmentation with Simultaneous Implant Placement in the Aesthetic Region: A Case Report and Review of the Current Evidence. Medicina, 60(11), 1786. https://doi.org/10.3390/medicina60111786

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