Dr.Prashanthy R

Congenitally missing central incisor left upper tooth #21 referred by orthodontist .
Good soft tissue volume
Deficient hard tissue and proximity of nasopalatine canal structure as per CBCT evaluation .
Ridge expansion using densa drills , implant placed in 3 D .kw positioning GBR using autogenous bone scrape, allograft mineralized FDBA and xenograft layer, membrane used neomem bovine collagen , membrane stabilization by suture and passive closure of flap .
Initially temporary tooth Temporisation with essix retainer as patient was completing his Ortho treatment
Later chair side temporary tooth and final screw retained prosthesis delivered posted in story and highlight