Dr. Alfonso Caiazzo

In this case, the initial socket preservation was performed using suboptimal biomaterials, resulting in insufficient bone regeneration. A preoperative CBCT assessment was conducted to evaluate the socket condition and surrounding bone structure.

At the six-month re-entry, insufficient regeneration of the buccal plate was observed, compromising the available bone volume for implant placement. To address this deficiency, NOVAMag^® SHIELD was introduced to reconstruct the buccal plate.  Thus, an implant was placed followed by a membrane placement between the periosteum and the remaining buccal bone without fixation. Additional bone augmentation was performed to facilitate guided bone regeneration.

Three months post-augmentation, substantial bone regeneration and soft tissue integration were observed. The final outcome demonstrated improved aesthetics, function, and implant stability. A final CBCT scan confirmed the success of the procedure, showing sufficient bone volume, density, and proper ridge alignment.