A case of guided bone regeneration (GBR) in the left posterior region.

This is a case of a 75-year-old female patient who underwent a relatively simple GBR procedure in the mandibular left posterior area due to factors such as the patient's age and fear of surgery.

The height of the alveolar bone in the mandibular left posterior area is sufficient, but the bone width appears to be thin.

In such cases, there are various methods that can be considered. However, I first performed a simple guided bone regeneration (GBR) procedure using resorbable membrane and bone grafting material.

I exposed the connective tissue, made a vertical incision, and performed homogenous bone grafting. Afterward, I covered the area with a cross-linked resorbable membrane.

During the vertical incision, it's important to be cautious and avoid any damage to the mental nerve.

This is a photo taken about 4 months after the surgery.

Post-operative radiograph after the surgery.

A combination of allograft and autograft was used for bone grafting.

Implants were placed approximately 5 months after the initial surgery.

Implants were placed using Tissue level implants, as there was sufficient bone volume of about 4.0 mm for successful implantation.

At this stage, if necessary, additional bone grafting can be performed on the contralateral side.

Here is the post-suturing appearance. Since the bone hasn't fully matured, I ensured to completely suture the soft tissue to the best extent possible.

This is the post-surgery radiograph immediately after the procedure.

The final restoration was completed approximately 4 months after the surgery.

 Radiographic image taken 2 years after the surgery.