Left Lower Posterior Vertical Augmentation with Cytoplast Membrane.

This Gentleman had Implant failures LLQ. Implants were placed and restored in France 5 years ago. In my opinion, there are several reasons for failures.

After a discussion, we agreed to perform removal of the implants, vertical bone augmentation, implant placement, and soft tissue surgery.

I strongly believe good connective tissue is very important around implants, especially when we perform any kind of bone augmentation. When performing posterior mandible vertical augmentation flap advancement to accommodate the new vertical height is vital.

Lingual flap technique has several steps to understand and perform. When done well, the release and advancement is enormous. Literally, you can close the graft with just the lingual flap. Membrane adaptation is important for success.

After a few months, we completed the treatment.