Immediate implant disasters

303 Rating(s).


Posted on By Howard Gluckman In Failures

A patient had a motor vehicle accident and as a result fractured both the front teeth below the gum. We extracted the centrals and placed the large diameter implants which was the rule at the time the year 2000. The custom abutments show the way they support the papilla and prevent the collapse of the elastin fibres. The final result is a good one. But................................................




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16 Comments

Howie. GREAT SAVE! Fortunately you were wise from the start to place your implant platforms deep enough for your solution. Gotta love AUTOGENOUS TISSUE AND ZIRCONIA abutments. Well done. Best regards. Chuck


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Nice Case, we learn from ourselves, more from mistakes, but this is not one, i consider a total success. Congratulations.


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Thanks Juan. In hind site we could have done things very differently but at the time this was right.


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Great save Dr.Howard, thanks for sharing.


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Howard, congratulations! This was very difficult to solve...without proper actions.
Was the CTG more thick than normal?
What would you do today if you have to solve this situation? Would you manage on the same way, same flap design?
Thanks for sharing your experience!
Jorge


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Thanks Jorge. The tissue is the normal width about 2mm in thickness. And the answer to your second question is definitely yes I would do it totally differently if I did it now. The vista that I did first to thicken the tissue before I raised the flap would be the same however the second procedure would be a tunnel or a second vista flap. I would not leave the epithelium on the CT either. This way we would get a fare superior soft tissue healing without any scarring like we have in this case. thanks for your great questions


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Dear Howard my congratulation.,but you have not used any graft materials in this situation???


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Hi Tural do you mean graft material for bone grating over the buccal of the implants. If so I do not think you would get anybone growing here as it is outside the envelope as well as being agains the old implants so there is dead surface and no space for blood supply to the bone.


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Great save, thank god for thick biotype and switch platform.
Thanks for sharing!


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Remarkable and shows the IMPORTANCE of TISSUE THICKNESS!! regards Mo


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what does CRF mean?


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Coronally repositioned flap


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What did you place under the vista flap? Palatal tissue?


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Yes they both got palatal tissue


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