GBR with CTi-membrane in the narrow ridge in mandible

*Click on the picture to enlarge.

허영구 원장님 Dr. Heo

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

Director of Global Academy of Osseointegration
Seoul, Korea



Clinical photograph of right posterior mandible and panoramic radiograph. Severe bone resorption is observed.

20191002-2
After flap reflection, buccal bone deficiency was observed.

20191002-3
A cortical tap was used for coronal cortical bone to obtain passive, maximum contact between the cortical bone and implant.

20191002-4
#45 – IS-III Ø4.0x8mm, Neobiotech
#46 – IS-III Ø5.0x10mm, Neobiotech
#47 – IS-III Ø5.0x8mm, Neobiotech


20191002-5
Three implants were placed at the site of #45, 46, 47. The fixtures were placed in the positions as planned with VARO Guide planning software.

ACM
Autograft bone was harvested using ACM drill.

20191002-6
Bone graft material was covered and secured by Cti-membrane.

20191002-8
The flap was closed with tension-free suture.

20200212
No membrane exposure during 4 months of healing period

20200212-2
Removal of CTi-membrane during 2nd surgery

20200212-3
Healing abutments were tightened before closure.

20200422
Complete soft tissue healing was noted at the time of final impression.

20200506
SCRP crowns were fabricated and pink porcelain was used to reconstuct gingival architecture around #45, 46, 47.

고정준_20200506 (Pano)
Post-delivery Panoramic view

20200805
3 month follow-up

고정준_20200805 (PA)
3 month F/U periapical view

20210203
10 month post-op. No significant clinical change is noticed.

고정준_20210203 (Pano)
10 month F/U panoramic view

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