Video:

Dr. Pikos shares a case presentation elucidating the need for bioengineering and osseous grafting to overcome severe deficiencies in anterior sites prior to implant placement. The case is that of a 19 year old caucasian female that presented with congenitally missing maxillary lateral incisors. Both sites were deficient in alveolar width. Subsequent treatment included a single ramus buccal shelf block bone graft that was utilized for bony augmentation along with mineralized allograft and PRGF with collagen membrane. This was followed 4 months later by two 3.8 mm diameter BioHorizons tapered internal Laser-Lok implants. Four year follow up is included.