A new generation of bone laminas called Flex Cortical Sheet (FCS) of equine origin have recently been introduced with machine-made thicknesses of 0.2, 0.5, and 0.9 mm and increased flexibility and adaptability to ridge defects. They are deantigenated through an exclusive enzymatic treatment that preserves the three-dimensional structure of the bone. This paper has the goal of presenting a case of vertical and horizontal reconstruction performed by means of a 0.5 mm FCS and showing the workflow necessary to successfully restore a complex situation. After 8 months of healing, the GBR resulted in a horizontal and vertical augmentation of 8 mm and 8 mm, respectively. The radiographic examination at 18 months demonstrated great stability of new bone around implants.
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