Implant therapy for lower mandibular incisors: Immediate implant placement and simultaneous guided bone regeneration using autologous concentrated growth factors

paul jang

Author
Dr. Paul Jang, DMD, FRCD (C)

Board certified periodontist, Canada & USA Diplomate, American board of periodontology Clinical assistant professor, Dept. Periodontics, Univ. of British Columbia Private practice limited to periodontics and implant therapy Founder and director, Northwest Dental Institute, Vancouver, BC. Canada



This case presents replacement of failing mandibular incisors with extraction, immediate implant placement with GBR and growth factors. The procedures are detailed step by step with practical advice.
83anterior01
Failing lower incisors due to recurrent decay and root fracture
83anterior02
Buccal bone was noted to be thin and presented with concavity

83anterior03
Thin buccal bone and concavity

83anterior04
Neobiotech IS-II active fixture being placed (3.5 x 13 mm)

83anterior05
Fixture being removed from its convenient carrier

83anterior06
Lingual placement of implants

83anterior07
Excellent primary stability is achieved with the design of IS-II active fixtures

83anterior08
Peri-apical radiograph immediately after fixture placement

83anterior09
Preparation of collagen membrane

83anterior10
Growth factor enriched cortical allograft

83anterior11
Growth factor enriched allograft to cover defects around implant and buccal wall

83anterior12
Periosteal release is needed in order to achieve tension free primary closure

83anterior13
Placement of bone graft material

83anterior14
Collagen membrane in place to cover the graft completely

83anterior15
Tension free primary closure of the surgical area

83anterior16
Essix retainer made using existing bridge

83anterior17
Essix retainer in place as provisional

83anterior18
Complete healing of soft tissue after 3 weeks

83anterior19
Uncovery of implants at 3 months show excellent ridge thickness and quality of bone

83anterior20
Placement of healing abutments

83anterior21
Healing of soft tissue after uncovery

83anterior22
Open tray impression technique

83anterior23
Cement retained 4 unit bridge

83anterior24
Final radiagraph

83anterior25
Permanent restoration insertion

Implant therapy for lower mandibular incisors:  Immediate implant placement and  simultaneous guided bone regeneration using autologous concentrated growth factors.

3211 Total Views 1 Views Today
0 Comments

Leave a reply

CONTACT US

We're not around right now. But you can send us an email and we'll get back to you, asap.

Sending

Copyright (c) GAO Forum. All Rights Reserved.

 

Forgot your details?