GBR procedure with CTi-mem and a combination of RegenOss and PRF in the anterior maxilla

허영구 원장님 Dr. Heo

Author
Dr. Young-Ku Heo, DDS, MDS, PhD

Director of Global Academy of Osseointegration
Seoul, Korea



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Pre-op panorama
Horizontal and vertical augmentation of the anterior maxilla with a GBR needed.


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Frontal view of the bone defect.

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Occlusal view of the bone defect.

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Extremely narrow ridge was found.

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Perforation of the cortical plate of the bone to allow the defect volume to be populated with new vessels.

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Platelet-rich fibrin(PRF)

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Allograft (RegenOss, FDBA)

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A combination of allograft (RegenOss, FDBA) and PRF.

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A combination of allograft (RegenOss, FDBA) and PRF was applied to the defect.

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Allogenic particulate graft placed. Periosteal splitting done.

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E-type CTi-mems (Neobiotech, Korea) were bent and placed on the graft.

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E-type CTi-mems (Neobiotech, Korea) were fixed by suture material (Lexilon supramid, Korea).

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A collagen membrane (Colla-Guide) was placed over the titanium meshes for minimizing mesh exposures.

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Tension free primary closure with double sling suture, horizontal mattress suture and simple interrupted suture.

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After 4weeks, instead of slight exposure of CTi-mem, the new bone was gained enough.

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The soft tissue has healed without membrane exposures.

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The CTi-mems were easily removed. 

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The CTi-mems were easily removed. 

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The defect area was fully filled with the new bone 3 months after the GBR.

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Click on the image to see clinical video.

GBR procedure was done using CTi-mems over the graft in the anterior maxilla. The graft was made of a combination of RegenOss and PRF. The result of new bone formation was significant.

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