Dental Tribune U.S. Edition

Clinical DENTAL TRIBUNE | September 201110A Fig. 6: The altered crowns over the implants were made to the same size as the adjacent teeth and this created a step on the inci- sal aspect, which was the amount of movement necessary to move bone. Fig. 7: The arrows mark areas of vertical incision. Fig. 9: Four months after ERA implant placement and prior to primary implant placement. A B B Fig. 5: A) Mark pontic position for implant placement; B) single-stage implant place- ment without incision, palatal to pontics. { Fig. 8: Implants and bone secured using the orth- odontic brackets. Fig. 10: Arrows show osteotomy sites utilizing 2.4 mm triphine bur to remove ERA implants. Narrow ridge regained height but not width. Fig. 13: Six-months post-implant placement. Two-weeks post second-stage abutment and temporization. Fig. 12 Fig. 11: a) Donor site; b) size and shape graft and c) block graft). c a b Fig. 14: After shows post ERA implant dis- traction post. Primary implant placement inte- gration and final tem- porization before final prosthesis. After Before