The sheet summarizes the case of a female patient who presented to the surgeon with an incisor (1.2), already previously devitalized, impaired owing to vertical root fracture, and reported swelling and pain on palpation and mastication. Having radiographically ascertained the presence of a quantity of basal bone tissue sufficient to give primary stability to an osseointegrated implant, it was suggested to the patient to perform extraction of the impaired tooth and placement of a fixture at the same time. Deep vestibular dehiscence was observed during the procedure for atraumatic tooth extraction. A bone graft in syringe was used (Osteoxenon Mix Gel, Bioteck) consisting of cortical and cancellous granules (Ø 0.5-1 mm), in proportion 1:1, hydrated with a water-based gel that assures their adhesion and prevents dispersal. A pericardium membrane (Heart, Bioteck) was also used in the procedure. After 24 months the intraoral clinical examination shows that the peri-implant bone tissue level is preserved, as is the gingival festooning both at vestibular and interproximal level.
PRODUCTS USED: Osteoxenon Granules Mix Gel, Heart Pericardium Membrane