Lower full arch temporary bridge on 9 dental implants

Another labial frenectomy

Immediate implant placement

Frenectomy

Immediate implant placement

Crown lengthening & Grade II Furcation

Tissues completely covering the buccal and mesial aspects of tooth
Incision design

Marginal Periosteal Pedicle Flap

Intial presentation with deep pocket and loss of attachment with grade 1 furcation involvment
7 week following scaling and root planning

PA

not the infra bony defect

Pedicle from the periosteum over the defect to act as an autogenous membrane

Pedicle outlined

Modified Widman flap

one month following SRP

Crown lengthening to treat violation of biologic width

inflammation of gingiva due to biologic width violation on the mesial and distal aspects.. Also short clinical crown

Reverse bevel at the canine.. it was followed by a sulcular incision

After osseous recontouring

4 O silk sutures.. Notice the gain in crown length

X ray

Comparsion

Endodontic Retreatment