In this case, Dr. Alvaro Ordonez grafts a large defect utilizing cortical cancellous bone and a membrane prior to placement of the ceramic implant. He uses the Versah Osseodensification burs with a tapered design to match the implant shape. A lot of attention was paid to proper suture of the delicate soft tissue.

Case Report

This patient appeared in my office with a severely compromised tooth at #8. At the time, the patient was not ready for an implant and the decision was made to extract the tooth with the intent to place an implant at a later date. The tooth was carefully extracted using luxators to preserve the soft tissue surrounding the socket. A crestal incision was made from tooth #9 to #7 with a partial pocket flap. The defect was filled with cortical cancellous bone and covered with a PTFE membrane.

After 4 months the patient was eager to proceed with the implant. 2D and 3D scans were used for treatment planning of the case and the decision was made to select a ZERAMEX XT tapered, ceramic implant. A full flap was done to take full view of the hard tissue situation. Utmost care was taken to preserve the soft tissue. Bone density and ridge width were enhanced in this case by utilizing the osseodensification burrs by Verah.