A 60-year-old patient presented with complications arising from poorly positioned maxillary implants. The treatment plan included explantation, followed by guided bone regeneration (GBR) utilizing autologous bone, cerabone^® plus, and the  NOVAMag^® membrane. Autologous bone chips were mixed with cerabone^® plus to augment the site, while the NOVAMag^® membrane was carefully shaped, positioned over the augmentation area, and secured with NOVAMag^® fixation screws.

Six months post-GBR, a CBCT scan was performed, and a simple template was created to plan the placement of three implants with cover screws. Two months later, soft tissue augmentation was conducted to enhance the band of attached gingiva using the Strip technique with mucoderm^® and free gingival graft (FGG).

Two months after soft tissue augmentation, the implants were uncovered, and healing abutments were placed. Following one month of healing, a provisional bridge was created to shape the emergence profile. A complete upper jaw rehabilitation was planned to increase the free interocclusal space, as the lateral incisors were unsuitable to serve as bridge carriers. Implants were placed in their position, and additional GBR was performed using a cerabone^® plus and Jason^® membrane to prevent bone resorption.

Six months later, the prosthetic phase began, during which zirconia bridges were fabricated on titanium bases, achieving functional and esthetic restoration.