Implantation with Simultaneous Augmentation
by Grunder, Ueli
Classification: General Diagnostics, Patient interview, Dental history, Clinical examination, Intraoral, Periodontal examination, Functional analysis, Esthetic analysis, Treatment, Tools/Materials, Implant systems, Brands, Macrodesign, Body, Dimensions, Hard Tissue Regeneration, General aspects, Guided bone regeneration (GBR), Barriers, Grafting materials, Xenogenic, Horizontal ridge augmentation, Indications/Contraindications, Implant placement, General aspects, Esthetic risk assessment, Gap size, Esthetic zone, Implant planning, Implant selection, Incision techniques, Flap elevation, Drilling process, Implant insertion, Suturing, Healing mode, Submerged
Procedure: - Case evaluation - Incision technique - Implant placement - Membrane adjustment and fixation - Introduction of replacement material - Flap mobilization - Suture technique Contents: Implantation was desired for replacement of a missing upper canine tooth and the adjacent lateral incisor tooth. The initial case evaluation revealed a relatively narrow gap between these two teeth in addition to extensive hard and soft-tissue defects. We selected an incision technique that made it possible to do the augmentation work yet subsequently achieve a tension-free flap closure. Since the bony defect was large while the available space was limited, we had to go for the best possible compromise in regard to implant insertion. After the implants had been inserted, augmentation was carried out using a non-absorbable, titanium-reinforced membrane, bone replacement material, and an absorbable membrane. Extreme flap mobilization was needed to achieve flap closure. An optimal suture technique was used to complete the surgery.
Content Type:
Publication date: