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Jedediah posted an update
This was a tough case with a large through-and-through defect on an upper central incisor. After the area was throughly cleansed I grafted using mineralized cortical particulate with CGF/PRF protocols. A thick collegen resorbable membrane was secured with membrane stabilizing sutures and primary closure achieved with a nonresorbable PTFE suture along with some chronic gut sutures for the vertical releasing incisions.
After 6 months of cooking we were able to achieve a great result with ample bone to support an implant with great initial stability and went on later to get the patients diastema back😝.
