Mauricio Gutierrez, DMD, MS

Buccal contour grafting and soft-tissue socket seal at the time of immediate implant placement to prevent framework collapse following extraction. Tuberosity micro-graft harvesting for buccal contour graft and palatal ‘biopsy harvest’ of epithelialized CTG plug. Straumann Bone Level NC implant. Framework support with removable prosthesis with ovated pontic. Looking forward to a beautiful final outcome with Caryn Kleiman D.D.S., M.S.

Extraction and immediate implant. BioHorizon Tapered Pro Conical. Contour CTG graft. BH Smart Shape Healer.

Less can be more. This case is a great example of what can be done with smaller volumes of dense connective tissue harvested from the tuberosity. Tuberosity tissue is found in less in quantity than palatal tissue but is much better quality. Maxillary tuberosity grafts are much richer in dense lamina propria (fibrous connective tissue) and have none of the glandular and adipose elements common in palatal harvests. All it takes is a little more patience for proper harvesting and filleting technique (whale tail filet seen in this cases)

Hard Sost Tissue Regeneration on a 16 yr old patient with congenitally missing lateral incisors prior to bonded Zi bridge. Plan is for implants once the patient has completed maxillofacial growth. With that goal in mind, the horizontally deficient alveolar bone was grafted with BioOss Collagen (Mineralized Xenograft) and FibroGide (Soft Tissue Xenograft). Ovate pontic development including gingivoplasty #7 by the talented Dr. Caryn Kleiman prior to finalizing case with unilaterally-boded RBR’s 6-x,x-11.