Vertical Defect repair thanos ntounis dds,ms

Initial soft tissue condition
CBCT - Combination defect with zero walls coronally
reconstruction with Ti mesh
Stabilization of mesh
autogenous graft+FDBA
Palatal stabilization
Resorbable collagen membrane
Connective tissue graft pedicle graft
Suturing- could be done better on the mesial of the central incisor
exposure at 10 weeks post-op
pre- and -post CBCT at 6 months
6 months re-entry surgery
Implant placement and FDBA+autogenous graft
Implant and onlay grafting
Implant and onlay grafting

Credits:

Thanos Ntounis DDS,MS

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