The staged approach on atrophic ridge on the posterior maxilla using Neobiotech IS-II active fixture

김석용웃는 copy-crop

Author
Seok Yong Kim, DDS, MSD, CAGS

Private Practice
Seoul, Korea



74gbr01
Male
45 yrs old
Non-contributory
NKDA
Drink occasionally, smoke 1 pack a day
Scaling and subgingival curettage
PFM bridge on #23,24-26
Implant placement on #32, 36, 37, 42
Extraction on #13,14,15,16
Generalized severe chronic periodontitis

Treatment plan
Scaling and subgingival curettage
Sinus augmentation using xenograft
Implant placement on #13,14,15,16
슬라이드1
Panorama taken at the initial visit severe vertical bone resorption has been appreciated on the right posterior maxilla

슬라이드2
Occlusal view of the surgical site before sinus augmentation

슬라이드3
Sinus window preparation with the help of piezoelectric devices

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Sinus augmentation has been performed with the use of xenograft(porcine origin)and resorbable membrane.

슬라이드5
Single interrupted suture has been done to adapt the buccal and lingual flaps.

슬라이드6
Panorama taken six months after sinus augmentation before implant placement.
The augmented bone can be easily appreciated.


슬라이드7
Occlusal view of the surgical site taken just before implant surgery.

슬라이드8
The implant placement has been done on #13,14,15,16 using Neobiotech IS-II active fixtures. Fixture direction pins have been placed to check occlusal relationship.

슬라이드9
The thin buccal bone on #13,14 area can be easily appreciated.

슬라이드10
Allograft has been placed on the thin buccal bone area together with resorbable membrane.

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Single interrupted suture has been done to adapt the buccal and palatal flaps with one horizontal mattress suture holding the resorbable membrane underneath the flaps.

슬라이드12
4 months after implant placement procedure

슬라이드13
Thick buccal bone can be appreciated at the augmented site around implants.

슬라이드14
Healing abutments have been placed.
Palacci technique has been applied to approximate the buccal and palatal flaps.


슬라이드15
Stable healing around the healing abutments can be appreciated.

슬라이드16
Two pieces of splint SCRP zirconia implant prosthesis have been fabricated and cemented with Fujicem.

슬라이드17
Panorama taken after final prosthesis insertion

A 45 years old male patient, who had missing posterior teeth, presented with a partially edentulous maxilla. Implants placement on #13,#14,#15 and #16 following lateral sinus augmentation was planned…

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