GBR for Overcoming Huge bony defect on posterior maxilla

Dr. Jong Yup Kim 김종엽_

Author
Jongyub Kim, DDS, MS, CAGs

Director of Global Academy of Osseointegration
Seoul, Korea



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Panorama view before the extractions of #16 and 17.

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Periapical radiograph before the extractions of #16 and 17.

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Panorama view after the extractions of #16 and 17.

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Occlusal photography before incision

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Clinical picture after incision

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Huge bony defect on the area of #16 and 17 can be observed.

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Huge bony defect on the area of #16 and 17 can be observed.

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The gaps between #16 and 17 implants and the walls of the bony defects were filled with allogenic graft material.

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Grafted bone was covered by PRF membrane which prepared before implant placement.

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Panoramic radiograph taken immediate after the surgery.

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6 months postoperative clinical view.

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2 implants were successfully placed due to good bone formation made on the buccal side.

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Clinical picture after 2nd surgery (uncovery) 

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Clinical picture before impression making

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Soft tissue healing around healing abutments was adequate.

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Periapical radiograph of posterior maxilla after 2nd surgery.

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Good soft tissue healing was seen.

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custom abutments on the working cast. 

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Final restoration on the working cast. 

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SCRP two unit PFM FPD were delivered.

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SCRP type prosthesis. Occlusal adjustment and polishing were done after the access hole was filled with composite resin.

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Periapical radiograph at delivery of the final restoration.

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Panoramic view after the delivery of the definitive prosthesis. Graft material around the implants was well maintained.

Huge bony defect on posterior maxilla can be observed… The gaps between #16 and 17 implants and the walls of the bony defects were filled with allogenic graft material.

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