Bone augmentation in the anterior region in preparation for implants

Outline

• Incision technique/fl ap mobilization
• Bone removal with trephine cutter 6 mm
• Bone bed preparation with trephine cutter 5 mm
• Fixation of the autologous bone
• Membrane adaptation
• Introduction of the replacement material
• Attachment of the membrane (with nails)
• Introduction of a second membrane
• Flap mobilization
• Flap closure

List of materials
Trephine cutters (Biomet/3i, Palm Beach Gardens, FLlorida, USA)
Fixation screws (Biomet Microfi xation, Jacksonville, FL, USA)
e-PTFE membrane (Gore-Tex® reinforced, WL Gore, Flagstaff, AZ, USA )
Mineralized collagen bone replacement material (Bio-Oss® Collagen, Geistlich Pharma AG, Wolhusen, Switzerland)
Collagen membrane (Biogide, Geistlich Pharma, Wolhusen, Switzerland)