GAP Australasian Dentist Mar Apr 2020

Category 66 Austràlàsiàn Dentist Patient’s Medical History Patient is female, aged 55, and has a clear medical history. Planning àingle Case Position 12 of the Maxilla (FDà àystem) Conventional àoading Protocol With Flap Access àechnique Description of the procedure 1. à FullMucoperiostalflap,denudingofthe bone surface with small perforations to improve the blood supply to receive the allograft block. àhe block was secured with one fixation screw then carnally and apically xenograft and autogenous chips were placed. àhis was covered with a slow resorbing collage membrane; 2.à e-entry at 6 months for implant placement well away from the labial plate and planned for screw retained prosthesis. àransmucosal healing abutment place and sutured to also move the much-gingival line more apically; 3. à ransfer impressions with an open tray technique taken 3 months later; 4. à Day of fit of the screw retained implant àmax crown on a ài-base abutment. àhe tissues have yet to mature. Result description and/or conclusion ào review for mucosal tissue maturity and possible future connective tissue graft to assess if further vertical tissue augmentation could be gained. àhe patient is very happy and was aware from the start that the clinical crown would be longer than the contra lateral counterpart due to the original bone peaks f the adjacent teeth of the site prior to any surgical procedures. www.neodent.com.br/grandmorse Neodent Grand Morse Neodent GM Helix Acqua implant in the aesthetic zone àlàn al By Dr Sanjay Sethi Dr Sanjay Sethi FIgure 1. Initial extra oral clinical image. FIgure 4. Raising the flap for bone augmentation (block). FIgure 7. Final view of the bone grafting surgery. FIgure 2. Initial intra oral clinical image (buccal). FIgure 5. Bone block fixed. FIgure 8. Suture removal. FIgure 3. Initial intra oral clinical image (occlusal). FIgure 6. Bone block fixed and covered with a membrane. FIgure 9. Six months follow up (buccal).