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QUARTER 2 | 2014 | CERECDOCTORS.COM | 23
Fig. 5: Galileos Implant treatment plan
for site #7
Fig. 6: Galileos Implant treatment plan
for site #10
Fig. 7: SiCat OptiGuide for guided
osteotomy preparation sites #7 and #10
Fig. 8: Full thickness flap reflection
demonstrating osseous deficiency in
Sites #7 and #10
Fig. 9: Restoratively driven implant
placement
Fig. 10: Crestal osseous scalloping to
allow for implant placement to correct
restorative depth
Fig. 11: Fenestration defects implants
#7 and #10
conscious sedation and local anesthesia.
In addition, venous blood was collected
and a centrifuge was utilized to obtain
a Platelet Rich Fibrin (PRF) concen-
trate. A full-thickness bucco-lingual
mucoperiosteal flap was elevated
in sites #5-#12 without any vertical
releasing incisions (Fig. 8). The guided
implant osteotomies were prepared via
the Optiguide, and two Straumann Bone
Level Roxolid SLActive 3.3 x 14 mm
implants were placed in sites #7 and
#10 in the restoratively correct and pre-
planned positions (Fig. 9).
Crestal osseous scalloping was
performed in both sites to allow for
implant placement to the correct restor-
ative depth of 3-4 mm apical to the
future facial restorative margin (Fig. 10).
Both implants presented with signifi-
cant buccal fenestration defects due to
the pre-existing alveolar ridge deficien-
cies (Fig. 11). Short, 3.6x2 mm healing
caps were placed onto the implants and
the fenestration defects were treated via
the buccal contour augmentation and
layered bone grafting technique. The
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