Managing cases

When preparing a treatment plan, the clinician must decide if the case is suitable for bone augmentation or soft-tissue grafting. In some cases, both procedures – or neither – are required. It is often the case that everyday solutions cannot be concluded directly from documented evidence, as individual cases can vary greatly, and so we need to listen to the experts for their recommendations.

“In some cases, both procedures – or neither – are required.”

The chair presented three cases which are representative of those typically encountered in daily practice to be discussed during the session (Figures 1–3):

• case 1: the patient presented with a lack of horizontal dimension in the posterior mandible
• case 2: the patient’s upper right incisor had to be extracted and presented mucosal recession, periodontal inflammation, insufficient papillae, apical fistula and damaged vestibular bone
• case 3: involving a soft tissue complication in an eight-year-old implant which had suffered marginal recession

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