Ridge split procedure with ridge wider and simultaneous implant placement of IS III active fixtures on #46, 47 at narrow right lower ridge

허영구 원장님 Dr. Heo

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

Director of Global Academy of Osseointegration
Seoul, Korea



슬라이드2
A 58-year-old female patient had lost teeth 46 and 47 and was referred to the clinic for treatment.
As extremely narrow ridge was found on the mandibular right quadrant, ridge split was performed and decided to place IS-III active implant.


슬라이드3
Intra-oral photograph

슬라이드4
Incision

슬라이드5
Flap reflection

슬라이드6
Bone Trimmer was used to flatten and smooth out the narrow alveolar crest. Side blades enable quick trimming of the alveolar crest.
Recommended speed when using the Bone Trimmer : 1,200rpm


슬라이드7
Ø1.5 Initial Drill was used for initial drilling.
Recommended speed when using the Ø1.5 Initial Drill : 1,200rpm


슬라이드8
Safe Disk (1,200rpm)

슬라이드9
Safe Disk was used for cutting across the narrow ridge.
Recommended speed when using the Safe Disk : 1,200rpm


슬라이드10
Safe Disk was used for cutting the buccal side.

슬라이드11
Safe Disk was used for cutting the buccal side.

슬라이드12
Safe Disk Ø7.0mm, T1.0mm was used for cutting the buccal side.
✔ Ø7.0mm, T1.0mm Safe Disk is used before alveolar bone expansion.


슬라이드13
Prevent alveolar bone fracture by cutting the lower part of the buccal area by 1mm thickness before bone expansion.

슬라이드14


슬라이드15
Bone Chisel was used for initial ridge expansion. Slight expansion of the ridge through inserting the Chisel between the cortical plates.
Additionally separates the attached remaining bone.


슬라이드16
Bone Expander was used for sequential bone expansion.

슬라이드17
Recommended speed when using the Bone Expander : 25~35rpm

슬라이드18
CMI IS-III active (Neobiotech, Korea) 4.5*10mm fixture was placed in the area of #46.

슬라이드19
Neo EZ-GBR Kit Ø1.5 Drill was used for insert fixing screw.

슬라이드20
A 7mm Fixing Screw was inserted.

슬라이드21
CMI IS-III active (Neobiotech, Korea) 4.5*8mm fixture was placed in the area of #47.

슬라이드22
2 implants were placed with 15Ncm of initial stability.

슬라이드23
Bone graft was performed.

슬라이드24


슬라이드25
Resorbable collagen membrane was placed over the graft.

슬라이드26
After the surgery.

슬라이드27
Post-op panorama.

슬라이드28
Click on the image to see clinical video.

슬라이드29
After 2 months

슬라이드30
An intra-oral photograph after 2 months healing.

슬라이드31
Soft tissue healing 5 months after the surgery.

슬라이드32
After 5 months of healing, uncovering was performed. 

슬라이드33
Healing abutments were connected to the fixtures.

슬라이드34
After 2nd surgery.

슬라이드35
After 2nd surgery.

슬라이드36
Occlusal view: Access holes were filled with composite resin.

슬라이드37
Lateral view: The final prosthesis in occlusion.

슬라이드38
The fit of the prosthesis is verified on periapical radiograph.

슬라이드39
Panoramic view after delivery of the prosthesis. 

The Safe Disk and Bone Expander from the Ridge Wider Kit enable safe and effective horizontal expansion and simultaneous implant placement in narrow ridges.

4598 Total Views 4 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?