追蹤
◣★鄭文彥牙醫診所☆◥
關於部落格
台北市士林區文林路678號2樓
預約專線:(02)2833-0799
主要採預約掛號為主
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Socket preservation with open collagen membrane technique close to collapsed edentulous ridge

p't suffered from pain on #35 for weeks after biting something hard
removing this bridge to release occlusal contact and to release the clinical s/s
one week later, swelling lessened. time to carry out the socket preservation and GBR
buccally para-crestal incision
narrow edentulous ridge close to the hopeless #35
vertical root fracture and buccal dehiscent bony defect were found after removing all granulation tissue
taking out of this hopeless tooth
de-corticalization around the buccal edentulous ridge
lifting up the collagen membrane from the buccal site after trial-and-set of the collagen membrane, then filling all defect with cancellous FDBA
setting back of the membrane and covering all bone graft with the membrane
suturing the flap( horizontal releasing incision was done and primary closure was performed on the edentulous ridge but open membrane technique was carried out around the entrance of the extraction socket )
10-day post-op
14-day post-op, sutural removal
2-month post-op, #38 acute periodontal breakdown, ready for extraction
9-month after socket preservation, ready for implant surgery. According to finical concern, p't delayed #36,#37 implant treatment. Carry out #35 implant first.
lack of buccal keratinized mucosa of #35
APF to increase the buccal keratinized mucosa, and suturing the flap
FGG from the tuberosity
preparing the keratinized mucosa of the future implant site
sutural removal, 10-day post-op
1-month post-op
3-month post-op, ready for setting the final prosthesis
buccal KG of the #35
biscuit trial of the final prosthesis and adjustment of the emergence profile
buccal over-contour of the emergence profile
before adjustment of emergence profile
after adjustment of emergence profile
ideal buccal emergence profile
final prosthesis
before implantation ( no buccal keratinized mucosa )
after implantation
biscuit trial
before treatment
after socket preservation and GBR
before socket preservation and GBR
after socket preservation and GBR
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