◣★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 in combination with taking the apical granulation tissue as socket entrance barrier

periapical film taken 5-year ago with furcation involvement but without clinical s/s and without mobility.
clinical picture taken 5-year ago
5-year later, G(III) mobility and severe pain were found.
deep clinical probing depth
#45,#46 were implants treated after socket preservation,GBR and soft tissue graft procedures about 5-year ago. This picture was taken on 18, June in 2014.
G(III) mobility and severe pain on #16
This #16 was hopeless and socket preservation was recommended for further implantation. Take out of the hopeless #16 first.
full-thickness flap elevation and total enucleation of the palatal apical granulation tissue from the palatal defect ( NOTE: let the apical granulation tissue attach to the palatal flap )
lift up and take advantage of the palatal apical granulation tissue to seal the socket entrance of the palatal root.
occlusal view of the socket: wide palatal dehiscent defect was found.
buccal fenestration defect
try in the collagen membrane
Lift up the membrane from the buccal site and fill all defect with cancellous FDBA + cortical FDBA ( 1:1 )
Set back the collagen membrane
Suture the flap with open membrane technique
10-day post-op, suture removal
25-day post-op
9-month post-op, time to perform implant surgery
10-day post-op, suture removal
3-month post-op, time to carry out the final prosthesis treatment
before treatment
during treatment
final outcome
before treatment
during treatment
final outcome
before treatment
after treatment
before treatment
after treatment
before socket preservation
after socket preservation
before socket preservation
after socket preservation
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