Management of an iatrogenic case following traumatic tooth extraction, bone graft and implant failure
A 30-year-old female patient who lost tooth #13 FDI (#6 US). She reported the traumatic extraction of the canine, which resulted in a significant vertical bone loss of 3 mm and an advanced horizontal lingual defect. After the extraction, a bone graft and an implant insertion were attempted: both graft and implant failed.
The lateral incisor exhibited a broader periodontal ligament (PDL), mobility class II and periodontal attachment loss up to 9 mm. The surgical solution was the removal of the remnants of the failed bone graft, guided bone regeneration (GBR), implant insertion, and mucogingival plastic surgery to boost the biotype. A lithium disilicate (IPS e.max®) single crown restoration was used in this case.