By Dr Dominic O’Hooley

Patient background

• 55 year old male
• Non-smoker

This patient presents with failing LR5 (45) & LR6 (46) due to secondary decay. The teeth were extracted, and the infected tissue was removed.

EthOss® Bone Graft was used to circumferentially build up the jump gap around the socket and the healing abutment.

This case demonstrates the option to leave EthOss Bone Graft uncovered in the clinical situation, as shown with excellent long-term hard and soft tissue outcomes.

By Dr Vanessa Suárez Córdoba

Patient background

• 42 year old female
• Non-smoker

A healthy patient with no allergies or medication. This patient presented with a complaint of pain whilst chewing and occasional unpleasant taste associated with the UR2 (12). Further investigation showed a vertical root fracture.

This patient was managed with a socket preservation/regeneration technique; the implant was placed at 12 weeks along with a trephine biopsy for histological study.

This case demonstrates excellent clinical outcome alongside further histological investigation demonstrating successful bone regeneration.

By Jakub Batycki

Patient background

• 74 year old male
• Non-smoker

A simultaneous apicectomy and implant placement was performed in the maxillary aesthetic zone (canine and premolar region). Following root-end resection, the apex was sealed with a small amount of mineral trioxide aggregate (MTA). The apical defect was grafted with 0.7cc of EthOss® Bone Graft (B-TCP composite). Concurrently, implant placement was carried out, and a tissue-level implant was inserted. Buccal bone was augmented using the remaining EthOss Bone Graft material. Primary closure was achieved using PTFE sutures.

The patient was reviewed over a 5-year follow-up period. The surgical site demonstrated excellent healing with stable hard and soft tissue contours. No complications or failures were observed.

By Ludwig Hansson

Patient background

• 65 year old female
• Non-smoker

The referring dentist experienced difficulty extracting tooth 46, and the patient is seeking an implant in that area. Previously, the patient underwent orthodontic treatment, during which eight premolars were extracted. As a result, a first molar is currently positioned in the space formerly occupied by the premolars.

This case demonstrates single surgery management of a large buccal defect, regaining lost hard and soft tissue volume to give this case an excellent long-term outcome. The implant was restored using an early-loading protocol, with placement of the permanent crown 4 weeks after implant installation.