# Reconstruction After Failed Implant and Graft

URL: https://dloralsurgery.com/blog/reconstruction-after-failed-implant-and-graft/

May 5, 2013

**2013** year

**23** photographs

In

[Clinical Cases](https://dloralsurgery.com/blog/category/clinical-cases/) [Maxilla](https://dloralsurgery.com/blog/category/maxilla/)

[All cases](https://dloralsurgery.com/blog/)

![Reconstruction After Failed Implant and Graft](https://dloralsurgery.com/fotos/2013/05/IMG_2441.png)

This case illustrates a complex **reconstruction after failed implant**, involving both hard and soft tissue correction. The patient, a healthy 27-year-old, experienced trauma at age 14, which led to the avulsion of the upper left central incisor.

### Initial Implant Failure and Bone Loss

After years without the tooth, the space closed. At 24, the patient underwent orthodontic treatment to reopen the site. An implant was placed, and the defect—severely atrophic—was filled with bovine-derived biomaterial.

Unfortunately, the graft became infected. The infection caused the loss of both the biomaterial and the implant. It also damaged the adjacent lateral incisor, which lost its entire mesial and buccal bone plates. This left a severe horizontal defect and tooth mobility.

### Rebuilding the Defect in Two Surgical Stages

When we first saw the patient, palatal bone was reduced to just 1 mm. The lateral incisor had no bony support and was at risk.

In the first surgery, we removed the encapsulated biomaterial and performed a connective tissue graft to improve mucosal conditions. This soft tissue preparation was essential to support future graft integration.

Later, we performed bone augmentation using a rotated palatal flap to close the site. This staged approach allowed us to address both biological and prosthetic demands.

🔗 [More reconstruction cases](https://dloralsurgery.com/blog/)

[Our oral surgery courses](https://academy.dloralsurgery.com/)

![reconstruction after failed implant](https://dloralsurgery.com/fotos/2013/05/IMG_2443.png)

Previous situation

![reconstruction after failed implant](https://dloralsurgery.com/fotos/2013/05/IMG_2441.png)

Previous situation

![reconstruction after failed implant](https://dloralsurgery.com/fotos/2013/05/IMG_2624.png)

Extraction tooth 22

![reconstruction after failed implant](https://dloralsurgery.com/fotos/2013/05/IMG_2626.png)

Encapsulated biomaterial visible

![reconstruction after failed implant](https://dloralsurgery.com/fotos/2013/05/IMG_2627.png)

Retiramos el biomaterial

![reconstruction after failed implant](https://dloralsurgery.com/fotos/2013/05/IMG_2629.png)

Vestibular defect

![reconstruction after failed implant](https://dloralsurgery.com/fotos/2013/05/IMG_2630.png)

Connective tissue graft

![reconstruction after failed implant](https://dloralsurgery.com/fotos/2013/05/IMG_2631.png)

Sutures

![reconstruction after failed implant](https://dloralsurgery.com/fotos/2013/05/IMG_5456.png)

Situation after 2 months

![reconstruction after failed implant](https://dloralsurgery.com/fotos/2013/05/IMG_5457.png)

Improvement of soft tissues visible

![reconstruction after failed implant](https://dloralsurgery.com/fotos/2013/05/IMG_5459.png)

Occlusal view

![reconstruction after failed implant](https://dloralsurgery.com/fotos/2013/05/IMG_5465.png)

Measuring the gap

![reconstruction after failed implant](https://dloralsurgery.com/fotos/2013/05/IMG_5466.png)

View of defect

![reconstruction after failed implant](https://dloralsurgery.com/fotos/2013/05/IMG_5467.png)

Measuring horizontal collapse

![reconstruction after failed implant](https://dloralsurgery.com/fotos/2013/05/IMG_5470.png)

Grafting with blade of autologous bone

![reconstruction after failed implant](https://dloralsurgery.com/fotos/2013/05/IMG_5472.png)

Frontal view of graft

![reconstruction after failed implant](https://dloralsurgery.com/fotos/2013/05/IMG_5476.png)

Filling in with particulate autologous bone

![reconstruction after failed implant](https://dloralsurgery.com/fotos/2013/05/IMG_5477.png)

Pedicle flap from the palate to close

![reconstruction after failed implant](https://dloralsurgery.com/fotos/2013/05/IMG_5484.png)

Sutures occlusal view

![reconstruction after failed implant](https://dloralsurgery.com/fotos/2013/05/IMG_5485.png)

Sutures vestibular view

![reconstruction after failed implant](https://dloralsurgery.com/fotos/2013/05/IMG_7893.png)

Sitution 4 months after grafting

![reconstruction after failed implant](https://dloralsurgery.com/fotos/2013/05/IMG_7894.png)

Occlusal view

[← Previous case **Atrophic Posterior Mandible Reconstruction Using 3D Tunnel…**](https://dloralsurgery.com/blog/atrophic-posterior-mandible-reconstruction/) [Next case →**Kazanjian Vestibuloplasty to Improve Soft Tissue Conditions**](https://dloralsurgery.com/blog/vestibuloplasty-improving-soft-tissues/)

By your side, in every case

## Shall we talk about a case?

We are here to help you with complex diagnoses and advanced treatments.

[Clinical cases](https://dloralsurgery.com/blog/) [Our team](https://dloralsurgery.com/team/) [Training](https://dloralsurgery.com/training/) [Online appointment](https://dloralsurgery.com/online-appointment/)