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Catch the LIVE Surgery Tue, Jun 24 at 2pm (Los Angeles Time) Check out the gIDE Streaming Library: https://courses.gidedental.com/gide-m... ------ In this compelling new clinical video, Dr. Sascha A. Jovanovic treats a 20-year-old healthy female patient who suffered a traumatic maxillary fracture and loss of five anterior teeth following a car accident at age 10. After a previous failed bone graft, she was referred for complex anterior GBR reconstruction and implant therapy. The case begins with a comprehensive consultation and esthetic-driven prosthetic plan, guided by digital smile design to determine ideal incisal edge position, buccal contours, and gingival margins. This diagnostic phase allowed a customized surgical approach focused on 3D ridge augmentation using Guided Bone Regeneration (GBR) principles. Dr. Jovanovic demonstrates the use of a custom-designed microperforated titanium mesh (Re-Oss), precisely shaped to fit the defect site and to allow the ideal new ridge height and width. The grafting material consisted of a mix of 1 gr of autogenous bone particles harvested from the mandibular ramus with a bone scraper (Meta) and 0.5 gr of xenograft (Bio-Oss), combined with 2 cc of BMP-2 (Infuse) to enhance the overall regenerative potential and quality of bone regeneration. The surgical procedure highlights: • Careful initial incision and full-thickness flap elevation • Removal of fibrous scar tissue using specialized instruments (Jovanovic Kit, Hu-Friedy) • Flap release with a periosteal and internal split flap technique (Triaca et al.) for tension-free closure • Fixation of the Ti-mesh with two bone screws (Pro-Fix) and coverage with a native collagen membrane for additional graft protection • A precise two-layer wound closure using 3-0 PTFE sutures (Osteogenics) for optimal healing This case showcases an innovative advanced regenerative technique using a custom 3D printed occlusive Ti-Mesh and an osseoinductive graft mix used in severe maxillary reconstruction to create the foundation for future esthetic implant-supported restorations. Watch now to gain key clinical insights into managing complex vertical anterior defects with modern and innovative GBR strategies. ------ Gain unlimited access to 600+ expert-led clinical videos available anytime, anywhere on our web and app platforms! 🎥✨ As a member, enjoy: ✅ New dental videos added weekly ✅ In-depth topics in Implants, Periodontics, Esthetics, and Digital ✅ Tailored content for General Dentists and Specialists ✅ Exclusive discounts on classroom training! Clink link to subscribe today! 🔥: https://courses.gidedental.com/gide-m... Visit our website for list of all in person courses and programs here: https://gidedental.com/