Eduardo Münzenmayer
Eduardo Münzenmayer
Chile

CASE OF THE MONTH     |   10/2025

NOVAMag® plate technique with immediate implant after extraction of tooth with severe recession

Dr. Eduardo Münzenmayer

A patient presented with severe gingival recession and pronounced inflammation affecting tooth #24. Following extraction of the tooth and thorough debridement of the infected site, a complete loss of the vestibular wall was identified. In this situation, NOVAMag® membrane was cut to shape and given a suitable convexity and used as a rigid plate and fixated with two resorbable NOVAMag® fixation screws. A narrow ⌀ 3.2 × 13 mm implant was placed. The remaining peri-implant gaps were filled with maxgraft® granules, and the augmentation site was finally covered with a collprotect® membrane.

A follow-up CBCT scan taken at 4 months demonstrated stable bone regeneration around the implant, preservation of the ridge contour in its natural form, and satisfactory closure of the initial gingival recession despite minimal mucogingival intervention.

Initial situation – severe gingival recession and inflammation at tooth #24.
Initial situation – CBCT showing severe resorption of the buccal wall.
Visualisation of the defect following tooth extraction and thorough debridement of the infected site.
Checking the proper size and contour of NOVAMag® membrane.
Attaching NOVAMag® connector with NOVAMag® fixation screw XS.
Placement of NOVAMag® fixation screw XS after pre-drilling with NOVAMag® precision drill. The drive part of the screw is snapped off from the connector by a gentle move to the side (see NOVAMag® surgical guide).
Placement of the second screw a narrow ⌀ 3.2 × 13 mm implant.
The peri-implant gaps were filled with maxgraft® cortico-cancellous granules. The augmentation was covered with a collprotect® membrane.
Primary closure of the site with multiple interrupted 5/0 resorbable (polydioxanone) sutures. A Temporary Maryland was placed.
Healing seven at days.
Healing progress at three weeks.
Control radiograph at two months.
Four months CBCT at four months showing the reconstruction of the vestibular wall.
Situation at 5 months before placing the temporary crown.
Placement of the temporary crown at 5 months. Sufficient closure of the previous recession is noticed.
Control radiograph after placing the temporary crown.
Situation at 8 months at the time of placing the final crown.
Situation at 8 months at the time of placing the final crown.
Control radiograph after placing the final crown.

The „Case Of The Month“ highlights every month a clinical case, which distinguished itself by the clinical results or the treatment concept in combination with the applied botiss biomaterials. The selection of the case is based on content relevance and quality of the documentation.

collprotect® membranemaxgraft® granulesNOVAMag® fixation screwNOVAMag® membrane

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