Reverse Planning for Esthetic GBR

DRMENDEZ

Author
Dr.MANUEL FEREGRINO MÉNDEZ

Mexico, North America

Universidad Cuauhtémoc Plantel Querétaro 1995-2000.

Specialization in Periodontics: Universidad Intercontinental, Mexico City 2001-2003. 

슬라이드1
슬라이드2
슬라이드3
Introduction:

In anterior cases, where we cant place the implant immediately  post extraction, we have to increase the soft tissue first and then do the GBR, in order to decrease complications and get stability in long term.
Reverse strategy has two steps, the first one is soft tissue augmentation.
The second is the implant placement and bone augmentation. Means that even final objective is the bone regeneration you have to begin with soft tissue regeneration in order to decrease complications.


Patient Information:

Women patient 32 years old, with a chronic periapical lesion the reason was a car accident when she was 12 years old.


슬라이드4
First procedure.
Extraction central left incisor, and CTG with Plasma Rich in growth factors.


슬라이드5


슬라이드6


슬라이드7


슬라이드8
The suturing of the connective tissue draft with a horizontal mattress technique in order to increase the biotype thickness.

슬라이드9


슬라이드10
Placement of plasma rich in growth factors in the socket.

슬라이드11


슬라이드12


슬라이드13
The suturing of the Connective Tissue draft with a horizontal mattress technique in palatal area.

슬라이드14


슬라이드15
Second procedure.
  4 months later previous Cone Beam. implant placement ISII and GBR with A3 titanium membrane and PRGF membranes.


슬라이드16


슬라이드17


슬라이드18


슬라이드19


슬라이드20


슬라이드21


슬라이드22


슬라이드23
Placement of IS II implant with a titanium membrane

슬라이드24


슬라이드25
Auto bone with ACM, CTi membrane and PRGF fibrin membrane

슬라이드26


슬라이드27


슬라이드28
4 months later

슬라이드29


슬라이드30


슬라이드31
Take the impression during the implant uncovering in order to avoid several reconnections and bone lost

슬라이드32


슬라이드33


슬라이드34


슬라이드35


슬라이드36
Uncover implant, membrane removal, impression and placement of shapeable abutment with 30 Nm torque and cemented provisional crown.

슬라이드37


슬라이드38


슬라이드39


슬라이드40
2 months later

슬라이드41


슬라이드42
The abutment impression

슬라이드43
Impression of the shapeable abutment,  2 months later and final restoration with a Zirconium crown stratified with feldespatic material.

슬라이드44


슬라이드45


슬라이드46


슬라이드47


슬라이드49
Final crowns were placed

슬라이드51
Post follow up 6 months

슬라이드52


840 Total Views 3 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?