Wound closure induced displacement of the bone substitute resulting in a partial collapse of the collagen membrane in the coronal portion of the augmented site. The stability of the bone substitute and collagen membrane was enhanced by the application of fixation pins and by the use of block bone substitute instead of particulated bone substitute.
The prevalence of peri-implantitis in private practice patients enrolled in a periodontal maintenance programme was estimated to be between 12% and 22%. Almost 40% of the patients had mucositis. These prevalences are similar to those published in University environment samples.
The addition of an L-shaped soft-block bone substitute to a particulate xenograft, covered by a collagen membrane and fixed with pins, significantly improved the horizontal volume stability of the augmented region during wound closure.
The intra-operatively measured peri-implant bone levels were more apical than the radiographic bone levels. The intra-operatively assessed peri-implant bone levels (SurgBL) were similar at all the circumferential positions around the implant.
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