Large Posterior Mandible 3D Defect.. 5 years postop Part 4

207 Rating(s).


Posted on By Maurice Salama In Bone Grafting

5 years Post op results of LARGE 3D defect treated with BMP-2 and ti-mesh
Following failure of 2 implants in this area a Large 3D Defect was in need of reconstruction. Additionally bone loss was noted on the buccal aspect of an implant in area of #28. Options and Solutions. Provided Treatment GBR with Tenting Screws Autogenous Bone Chips and BMP-2 with Ti-Mesh. Latest images at 8 months followup, CBCT and 2nd stage surgery. Thoughts? Discussion. Options? Dr. Salama

Initial preop after implant failure
tenting screws autogenous bone and BMP-2

mesh removal after 6 months
implants placed and FGG


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7 Comments

Same patient treated at the same time...compare BMP-2 sude to Standard placement side without Bone Grafts....very similar.

Left side
Right side


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6 years ago...at implant placement of Zimmer TM implants....

implant sx
implant placement


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Defect & after Regen achieved....

Defect site
Implants in regnerated site


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Amazing result here! What's your experience with trabecular implants? The concept doesn't make that much sense to me. Thanks


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Another implant.... Some different surface technology. Tried it at the moment for earlier loading. Dr. S


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What other options here? GBR, block, Khoury Plates??? What would you do? Dr. Salama


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FAST plates from Dr Choukroun work well as to keep space for the bone graft as well as keep muscular forces away. Easy, no second site surgery, 5 mins to place, and they don`t seem to get exposed.

Fast plate plus tenting screw.


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