Dr. Róbert Kemper

Description:

A 67-year-old female patient with no significant medical history presented with moderate pain associated with the upper second premolar. Clinical examination revealed a vertical root fracture visible from the buccal aspect. The preoperative radiograph revealed a pronounced buccal bone deficiency, which was then confirmed post-extraction with completely missing buccal bone.

A regenerative approach using NOVAMag^® SHIELD was selected. Following atraumatic tooth extraction, the alveolar socket was carefully debrided. Subsequently, the gingival tissues were detached from the underlying bone using a tunneling knife to create a pouch for NOVAMag^® SHIELD insertion. The SHIELD was adapted to match the morphology of the defect and inserted in a flapless matter. The implant was subsequently placed, and the jumping gap was grafted using a xenograft material. Immediate loading was then performed with a temporary screw-retained crown. The early postoperative healing phase was uneventful, with stable soft tissue healing and no reported complications during the immediate clinical follow-up period.

At the 12-month follow-up, radiographic evaluation demonstrated stable bone regeneration with maintenance of the ridge architecture. Clinical examination confirmed satisfactory soft tissue healing and preservation of the alveolar contour. The treatment was completed with delivery of the definitive crown 12 months postoperatively.