Extraction, guided bone regeneration and delayed guided implant placement

  • cover image
  • 1. Initial situation
  • 2. CBCT images of teeth 11 and 21
  • 3. Incision design
  • 4. After retracting flap & curettage of inflammatory tissue
  • 5. Resorbable membrane secured with bone pins
  • 6. Alveoli reconstructed with sticky bone
  • 7. PRF membranes in situ
  • 8. Wound primarily closed with PRF
  • 9. Essix retainer directly after surgery
  • 10. Two weeks postoperative
  • 11. Soft tissue epithelialization 4 weeks post-op
  • 12. Healed jaw after 4 months
  • 13. Sufficient width to implant flaplessly
  • 14. Planning in R2GATE software
  • 15. Circular incisions
  • 16. Guide in place and drilling in the shaft
  • 17. Implant driver through guide
  • 18. Implants placed through guide
  • 19. Temporary crowns immediately after implant placement
  • 20. Maturation of soft tissues after 6 months
  • 21. Cervical and emergence profile of the implants
  • 22. Two scan abutments in situ for digital impression
  • 23. Baked porcelain on zirconia and titanium inserts
  • 24. Final result front view
  • 25. Sufficient thickness of tissues for a natural emergence profile
  • Clinical indication: alveolar regeneration
  • Products : Evolution, Gen-Os®
  • Authors : Dr. Irfan Abas
  • Information about patient: Female, 68 years old
  • Credits : Dr. Irfan Abas, private practice, The Netherlands
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