Grafting of an advanced maxillary defect .
Hello all ,
Some patients do not believe in checkups and periodic records with the dentist or periodic examination and x-rays.
This case is one of this examples, the patient presented 10 years ago, inserted two implants, one of them was one stage I don’t have any records. Why? It could be space limitations.
He has a ceramic restoration, which to me does not look nice, but I believe that he had it as a temporary, to be changed with another one, but he did not show for 13 years later.
CBCT examination revealed a huge cavity related to the left implant.
The patient is young, works in sea transport, he doesn’t have any vacations.
Treatment plan was to remove the implant, curette, bone graft and two collagen membranes, one palatal fixed by tacks and another one labial, and both are kept beneath the suture level.
Release was done to avoid any tensed sutures, a big amount of bone graft, allograft was inserted, patient was instructed to were the temporary partial denture for at least one month, only for few hours per day.
Patient scheduled to come back in three and six months.
Thoughts and comments are welcomed.