Dr. Akiva Elad

A 62-year-old male patient in good overall health presented with a horizontal oblique root fracture in tooth 21, accompanied by severe bone loss, including the complete loss of the buccal cortical plate, while the palatal cortical plate remained intact. A non-traumatic extraction of tooth 21 was performed, followed by bone augmentation using the Shield technique to reconstruct the buccal wall. Given the aesthetic zone location, the implant was immediately restored with a provisional crown. Four months postoperatively, the bone defect showed excellent regeneration, including a fully restored buccal cortical plate. The implant remained stable, with well-healed soft tissues, indicating a successful recovery.