Tunnel Graft Case Study

1. Initial clinical view. Note thin residual bridge and atrophy of the soft tissues
2. Vertical incision made distally to later incisor. Using a thin periosteal elevator, a sub-periostal tunnel was created
3. 1cc of EthOss® injected into the tunnel using a graft gun
4. Clinical view immediately post-op
5. 12 weeks post-op. Adequate soft bone regenerated enabling implant placement. Note expansion of the new bone
6. Additional grafting with EthOss®
7. Tension-free closure
8. 4 months post-op. Note augmented ridge and thick keratinised soft tissues
9. Penguin ISQ measurement showing excellent stability for all implants (ISQ: 70-71)
10. Prosthetic implant abutments in place, torqued to 35 Ncm
11. Final cement-retained restoration

Radiograph:

1. Axial CBCT view
2. Coronal CBCT view
3. Periapical x-ray immediately after implant placement
4. Periapical x-ray immediately after fitting the restoration