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| Figure 1. Preoperative view shows the interim bridge with a large pontic in site No. 5. The buccal and crestal deformity of site No. 5 was evident. |
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Figure 2. With interim bridge removed, inflamed soft-tissue and ridge deformities could be seen.
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Figure 3. Clinical view of vertical incision opening to lateral pouch.
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| Figure 4. Acellular dermal matrix (ADM) was sutured in a manner that facilitated its placement into the lateral pouch. |
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Figure 5. ADM was secured within the lateral pouch.
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Figure 6. With vertical incision sutured closed, expansion of the deformity buccally and crestally was evident.
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Figure 7. The old fixed partial denture was recemented as an interim prothesis. The pontic was adjusted to accommodate the increased ridge volume.
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Figure 8. Following one week of healing, the site was healing with increased volume in both buccal and crestal dimensions.
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Figure 9. Following about 8 weeks of healing, the site was healing well and maintaining its expanded volume.
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Figure 10. Approximately one year following surgery, the soft-tissue architecture appeared stable and natural in appearance. Site No. 5 was restored with a pontic that was appropriate in size and shape.
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