Ti-Mesh Fixation Case

임상케이스 포스터

Author
Junwoo Lee

College of Dentistry, Yonsei Univ
General Director, Association of Nowon Dental Clinics, Seoul, KOREA



25
Pre-op panorama at the time of first visit (06/30/2014)
Patient age: 51 Female
C.C (Chief Complaint) : Patient wants to replace the old prosthesis to implants and single crown.
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Photo shown on the upper left side is the pre-operative intra-oral photograph at the first day of examination (06/30/2014)
The rest of the intra-oral photographs were taken on the day of surgery (10/13/2014)


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As extremely narrow ridge was found on the mandibular left, ridge split was performed. In such case, the site was fixed with the Ti-Mesh and GBR was applied by inserting mixed bone (mixture of allograft bone and PRP bone) to fill the split gap space.

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As shown on the lower left photo, the ridge has widened quite a bit after the ridge split and GBR. The Ti-Mesh was fixed with bone screws, and periodontal releasing incision was performed. Flap was sutured with primary closure (10/13/2014)

26
Post-op panorama after implant placement

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Second surgery (02/25/2015). The epithelium has became thinner due to Ti-Mesh’s good ability of space keeping. When the surface layer of the epithelium was opened, the Ti-Mesh remained well fixed. Complete bone regeneration was observed following the removal of the Ti-Mesh. New bone was created widely on the sides of the placed implants.

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Good soft tissue healing was seen after second surgery. Impression of #35 & #36 was taken (3/16/2015). The three photos were taken while connecting the CAD/CAM Abutment and delivering the temp cr. (04/15/2015)

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Clinical view of left mandibular after delivery of final restoration (06/26/2015)

27
Panoramic view after delivery of final restorations.

This patient presented with extremely narrow ridge on the sites #35 and 36 after the removal old prosthesis of #34-X-X-37.  A 2 unit screw-cement retained FPD was delivered 6 months after GBR was conducted using titanium mesh.

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