Esthetic restoration to soft tissue defects in the anterior maxilla

DRMENDEZ

Author
Dr. Manuel Feregrino Mendez

Certified by the Mexican Council of Periodontics since 2003

Mexico



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26 years old, who received orthodontic treatment, where the ortho try to move the canine from the palatal, as you see, that was not possible, the canine and the lateral has a great mobility.
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Tomography of the canine area

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Tomography from the lateral

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Extraction and socket cleaning

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Soft tissue graft from the palate to fill the socket of the canine.

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Soft tissue graft was placed in the canine socket and PRGF clot in the lateral socket

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Healing at 2 months

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Flap reflection

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ACM recollecting

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ACM recollecting

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Eptf titanium reinforced non resorbable membrane

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Collagen resorbable membrane placement at the bottom

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Collagen resorbable membrane placement at the bottom

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Horizontal mattress eptf suture.

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9 months after.

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Reopening with 45 degree, for decrease the scar healing

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Before and 9 months later

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Before and 9 months later

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Surgical guide, to place 2 IS II implants

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Removing bone until have 3 mm from crestal bone to gingival margin on the surgical guide.

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Biological drilling at 75 RPM to recollect autogenous bone

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Biological drilling at 75 RPM to recollect autogenous bone

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Implants placed with autogenous bone and PRGF

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Implants placed with autogenous bone and PRGF

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Uncover the implant 4 months later, you can see new bone formation over the implants platform.

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Uncover the implant 4 months later, you can see new bone formation over the implants platform.

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Final prosthesis

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4 years follow up

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4 years follow up

This case present a guided bone regeneration for horizontal and vertical augmentation with implants placement. Soft tissue graft was placed in the canine socket and PRGF clot in the lateral socket prior to implant placement in the anterior maxilla.

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