Soft-tissue enhancement combined with biologically oriented preparation technique to correct volumetric bone defects: A clinical case report

Davide Rancitelli, Pier Paolo Poli, Marco Cicciù, Francesco Lini, Rachele Roncucci, Gabriele Cervino Carlo Maiorana, Carlo Maiorana

Research output: Contribution to journalArticle


The aim of the present case report was to illustrate how to obtain an ideal alveolar ridge contour by means of peri-implant soft-tissue management combined with the prosthetic approach of the biologically oriented preparation technique (BOPT). A patient presenting a moderate vertical and horizontal bone loss in the posterior maxilla was treated with sinus floor elevation and simultaneous implant placement. During the reentry procedure, the horizontal defect was corrected with an apically repositioned flap combined with a connective tissue graft. To increase the volume of the interimplant papillae, a pedunculated flap originating from the primary flap was turned within the interimplant space. BOPT one-time abutments have been employed to maximize the space available for the papilla-like tissues. A focused and combined surgical and prosthetic procedure has permitted enhancement of both peri-implant esthetics and function without the need for further invasive and costly bone regeneration techniques.

Original languageEnglish
Pages (from-to)307-313
Number of pages7
JournalJournal of Oral Implantology
Issue number4
Publication statusPublished - Aug 1 2017



  • Bone defects
  • BOPT
  • Soft tissue

ASJC Scopus subject areas

  • Oral Surgery

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