extraction followed by immediate implant placement and augmentation using Bond Apatite- Surgery by Dr. David Baranes

51 Rating(s).


Posted on By Rotem Maller In Bone Grafting

In this case on the right lower side first molar was missing and the second one sentenced to be extracted. Two implants were placed at the procedure time one in the first molar zone and the other in the extracted site .primary stability was tested and verified for both implants before the socket was augmented and preserved. As augmentation material Bond Apatite bone graft cement was chosen.
After 3 months at the reentry the implant was well integrated .and a bur was used to uncover the healing screw from the overlaid bone.

After extraction of the second molar
Augmentation with Bond Apatite cement Was preformed simultaneously with placement Of the implant. In such case the implant should Be anchored to the bone with good primary stability that comes from the bone and not from the cement

Membrane coverage is not required however the flap Should be primary closed
Soft tissue appearance 3 months post op


Add to Favorites
Add a comment to the discussion on extraction followed by immediate implant placement and augmentation using Bond Apatite- Surgery by Dr. David Baranes


Upload photos
1.  Photo Title:

2.  Photo Title:

Would you like to follow this post?
Case has been added to your favorites.
Case has been removed from your favorites.
Thank you for your input. Your comment has been posted.
You are now following this member. You will get notified on any new topics posted by this member.
You are no longer following this member. You will not get notified on any new topics posted by this member.
Edit Comment
1.  Photo Title:
Current Image:   Delete Image
2.  Photo Title:
Current Image:   Delete Image
Comment has been updated.

2 Comments

Why would primary closure be required with an immediate implant placement? How would Bona apatitie respond to an open healing environment? Is it contraindicated? thanks Dr. Salama


Reply

thank you Dr. Salama for your question
in four bony wall socket with or without implant placement it is not essential to reflect the flap and to have primary closure.
however the graft must be physically protected during the first days of healing until soft tissue will proliferate above the graft .for that we can use any barrier that will last about et least 10 days .even collagen sponge would be sufficient .but the sponge should be anchored and suture
together with the soft tissue around it ,in order to prevent it displacement .and in addition above the sponge two criss cross sutures should be placed .
if we will leave the graft exposed without protection there is no risk for contamination due to the bacteriostatic nature of the cement but we will loos volume during the healing phase
there is a very simple technique for that in the second part of the following tutorial Bond Apatite video

https://www.youtube.com/watch?v=59ZGSnQNnvg&t=26s

Dr.Baranes


Reply

Related Posts


Versah
Omnia