Objective: The aim of this report is to present the workflow of a surgical procedure involving U-shaped splitting in an envelope flap with simultaneous implant placement using two digital guides for patients with insufficient bone width and labial concavity.
Clinical Consideration: Two digital guides and an envelope flap are proposed in this report. An implant drilling guide and an osteotomy guide guarantee the precise execution of surgical procedures. Using an envelope flap enhances the integrity of the labial mucoperiosteum, minimizing surgical trauma and improving the effect of bone augmentation.
Conclusion: With the assistance of two digital guides, precise U-shaped splitting in an envelope flap can minimize surgical trauma and have a significant effect on horizontal bone augmentation.
Clinical Significance: This workflow considers the implant positions, the scope of osteotomy, and the kind of flap. It ensures minimal surgical trauma and excellent bone augmentation effect, which means predictable esthetic outcomes and stability in oral implantology, and provides a considerable solution for patients with insufficient bone width and labial concavity.
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