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  Indian J Med Microbiol
 

Figure 2: (a) Second stage surgery (1 month later). Midcrestal incision is done without elevating a flap over the buccal cortical plate (short arrow). However, the bone needed to be harvested for use as a spacer is exposed (long arrow). (b) Expansion: Osteotome inserted in midcrestal incision and lateralization of the buccal segment (buccal cortical plate and covering soft-tissue), movement in the direction of arrows. (c) The bone harvested from the posterior area, was split to smaller pieces and inserted deep between the buccal and lingual bone plates, to prevent the collapse back of the lateralized segment. (d) The expanded ridge, sutured in place, looks like an extraction socket. The spacer (bone pieces) can be seen inside the gap (arrows)

Figure 2: (a) Second stage surgery (1 month later). Midcrestal incision is done without elevating a flap over the buccal cortical plate (short arrow). However, the bone needed to be harvested for use as a spacer is exposed (long arrow). (b) Expansion: Osteotome inserted in midcrestal incision and lateralization of the buccal segment (buccal cortical plate and covering soft-tissue), movement in the direction of arrows. (c) The bone harvested from the posterior area, was split to smaller pieces and inserted deep between the buccal and lingual bone plates, to prevent the collapse back of the lateralized segment. (d) The expanded ridge, sutured in place, looks like an extraction socket. The spacer (bone pieces) can be seen inside the gap (arrows)