implants UK - the journal of oral implantology

36 I I clinical _ ridge augmentation implants1_2011 A three-sided flap was raised, with facial line angle relieving incisions, to allow for sufficient access to the future implant site (Fig 6 and 7). It was also necessary to augment the site with a GBR technique (Fig 7); a periosteal relieving inci- sion was made to allow for tension free wound closureandcoronalmobilisationofthebuccalflap. The dental implant was placed into the site two-three mm below the CEJ of the adjacent teeth. The patient’s own bone was harvested and placed over the exposed threads and a layer of Laddec bovine bone was placed over the autograft (Figs. 8 - 9). A cross-linked bovine membrane Memlok was placed over the xenograft using the principles of GBR (Fig. 10). The AlloDerm was rehydrated in a saline bath (Fig. 11) and then sutured to the buccal flap (Fig. 12) to increase the gingival volume for the fu- ture implant crown. A tension-free flap was closed using 5/0 polypropylene sutures Atthethreemonthsreviewitwasnotedthegin- gival volume of the UR1 site was very good to allow for the correct emergence profile of the implant crown (Figs. 13 - 14). A fixture level impression was taken for a screw retained crown. The patient was happywiththeshadeandshapeofthenewimplant crown (Figs. 15 - 16)._ implants AmitPatelisaSpecialistinPeriodonticspracticingat GraceHouseSpecialistDentalCentreinBirmingham. Hisspecialinterestsaredentalimplants,regenerative and aesthetic Periodontics. Amit graduated from the UniversityofLiverpoolandcompletedafouryearspe- cialist training programme in Periodontics at Guy‘s, King‘sandStThomas‘DentalInstitute.Amitisalsoan Associate Specialist in Periodontics and an Honorary Clinical Lecturer at the University of Birmingham Dental School. He has taught at undergraduate and postgraduatelevel,includinglecturingtodentalprac- titionersbothintheUKandinternationally. _author info Fig. 14_: UR1 at 3 months occlusal view. Note the increase in buccal volume Fig. 15_: Definitive screw retained crown UR1 Fig.16_: Definitive crown UR1 with good emergence profile from the augmented site Fig. 14 Fig. 15 Fig. 16