Clinical management of buccal bone loss in the anterior zone with NOVAMag® SHIELD and maxgraft® granules

The patient initially presented with a compromised tooth requiring extraction. A CBCT scan performed pre-extraction revealed insufficient bone volume and a high risk of buccal bone resorption. Following the tooth extraction, a significant alveolar defect was observed.

To preserve the ridge and support future implant placement, Guided Bone Regeneration was performed using maxgraft® granules for bone augmentation. NOVAMag® SHIELD was positioned to maintain space and stabilize the graft, followed by the application of a PRF membrane to promote soft tissue healing. Final sutures were placed to achieve wound closure. During the healing period, a minor dehiscence was noted but managed without complication. At the 4-month follow-up, the site showed successful bone regeneration and soft tissue integration, as confirmed clinically and radiographically via CBCT imaging. Due to favorable healing and sufficient keratinized tissue, a second-stage flapless guided surgery was performed. A temporary crown was then placed to complete the treatment, ensuring functional and aesthetic restoration.