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Journal of Oral Science & Rehabilitation No. 4, 2017

I n t e n t i o n a l l y e x p o s e d m e m b r a n e Another important result of this study is the regeneration of the most coronal part of the buccal plate with the combination of the ice- cream cone membrane technique and a nonre- sorbable membrane intentionally left exposed. The results of this study have shown that minimal crestal resorption occurs even if part of the buccal plate is missing. The minimal crestal resorption allows ideal implant placement with the presence of about 2 mm of residual buccal bone, funda- mental to support the soft-tissue margins, avoid- ing in this way gingival recession. These results seem to be stable even 6 months after crown placement with creeping of the soft tissue on the buccal side compared with the initial situation. However, further histological studies are needed to validate these promising clinical results. Conclusion Buccal plate reconstruction with an intentionally exposed nonresorbable membrane is an effective and easy procedure for regeneration of a resorbed buccal bone plate, especially after tooth extraction in the esthetic zone, where the sta- bility of the periimplant tissue is fundamental. Competing interests The authors declare that they have no conflict of interest regarding the materials used in the present study. 17. Bartee BK. A simplified technique for ridge preservation after tooth extraction. → Dent Today. 1995 Oct;14(10):62–7. 18. Beck TM, Mealey BL. Histologic analysis of healing after tooth extraction with ridge preservation using mineralized human bone allograft. → J Periodontol. 2010 Dec;81(12):1765–72. 19. Borg TD, Mealey BL. Histologic healing following tooth extraction with ridge preservation using mineralized versus combined mineralized-demineralized freeze-dried bone allograft: a randomized controlled clinical trial. → J Periodontol. 2015 Mar;86(3):348–55. 20. 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Simultaneous vertical guided bone regeneration and guided tissue regeneration in the posterior maxilla using recombinant human platelet- derived growth factor: a case report. → J Oral Implantol. 2009 Oct;35(5):251–6. 7. Carbonell JM, Martín IS, Santos A, Pujol A, Sanz-Moliner JD, Nart J. High-density polytetrafluoroethylene membranes in guided bone and tissue regeneration procedures: a literature review. → Int J Oral Maxillofac Surg. 2014 Jan;43(1):75–84. 8. Waasdorp J, Feldman S. Bone regeneration around immediate implants utilizing a dense polytetrafluoroethylene membrane without primary closure: a report of 3 cases. → J Oral Implantol. 2013 Jun;39(3):355–61. Epub 2011 Sep 9. 9. Hoffmann O, Bartee BK, Beaumont C, Kasaj A, Deli G, Zafiropoulos GG. Alveolar bone preservation in extraction sockets using non-resorbable dPTFE membranes: a retrospective non-randomized study. → J Periodontol. 2008 Aug;79(8):1355–69. 10. Barber HD, Lignelli J, Smith BM, Bartee BK. 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