"All in ONE Stage" , SS, IDR, CTG, VISTA

157 Rating(s).


Posted on By Dr. Yuriy Dmytryshyn In Implants

Lower- my authority "all in one stage technique", Upper- SS,IDR,Immediate implantation,two different ctg, vista approach




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26 Comments

crest splitting


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initial drilling and splitting


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pocket by steimmann&salama, fixed with ctg. graft only for resorption peservation and volume.


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mushrooms tent technique for volume soft tissue. vestibular turbomobilisation and lingual split flap/ gingivalformers h 6mm


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IDR


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two ctg: 1-pocket frontal 2-vista for volume after apicalectomy. apicalectomy about10 years ago


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composite restoration on abutment.


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Remarkable case management and all procedures performed at a high level. Well done. Dr. Salama


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Thank you very much dr.Salama. Learning a lot on dental xp


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Dear Yuriy,

great treatment plan and execution: IDR for the tooth with a buccal bone defect, SS for socket type 1, split crest for mandible. Fantastic documentation and many beautiful details, like CTG for soft tissue enhancement after apicoectomy.
Why haven`t you closed primary after split crest, IMO it would be easier to make keratinized gingiva at implant uncovering? BTW, master split crest performance, in my hands at situations like this there is the biggest fracture risk.
Do you feel that papillae would be even better, if there was less tension after suturing?
And the last question: why haven`t you placed ceramic implants for incisors, since we know that you prefer ceramic implants?
Great big case, thank you so much for sharing!
It was a great pleasure to meet you in person!
Cheers
Snjezana


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Hello dear Master Snjezana! Thank you for the compliment and the question. Do not need to be afraid of a crest fracture like a green branch. This fragmentation adds xenograft and it works very well. hollow when splitting the crest does not make vertical saws. When we sew gum formers, we increase the volume of gums vertically. not always the sleep becomes keratinized and we additionally perform correction by free graft. For ceramic implants, I have not yet had the experience of using them with a shield and IDR.


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