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Other
non resorbable membrane exposure
Posted on 07.14.2012 01:20 PM
By Alireza Firouzeh
In Implants
Two weeks after surgury it occured,however,the flap was compeletly tension free and the patient didnot wear a temporary prosthesis!!!
I clean the wound surface with cholorhexidine gel for 5 min and then covered the flap with a more thicker suture to protect my exposure.Did I perform the correct procedure??If it occures again what should I do next???
I am waiting to hear your comments for further assistance
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4 Comments
sergio soto says on 07.15.2012 11:42 PM
Dear college, what kind of suture did you use? when the patient started to use clorhexidine? what kind of gingival biotype does he had? had he any sistemic disorder? sorry my english, I'm from Chile. (southamerica). thanks bye.
Alireza Firouzeh says on 07.16.2012 01:10 AM
Dear college
I used PTFE (GORTEX) sutur during the surgury but in the second appointment I applied silk sutur because it is more stiffer.My patient started to rinse with cholorhexidine 1 week prior to surgury until now.The gingival biotype was thick and there wasnot any systemic disorder based on my patient history.THANKS FOR YOUR ATTENTION
Band Ditto64 says on 07.16.2012 03:35 PM
Is this a bone block graft or GBR exposure? Regardless, continue to have them cleanse area with Peridex and monitor the situation. Clear out area from denture so there is absolutely no loading during the next 8 weeks.
This happens sometimes despite our best intentions. Now we must manage the complications. You will likely lose some of the result under the exposed area and will have to adjust 2nd stage procedure to compensate.
Keep us posted.
Band
omid moghaddas says on 07.25.2012 11:18 AM
Dear already
The point Incision Line opening in 2 weeks most of the time is the result of tension.the thing happens is this:at the time of surgery you close the flap margins with suture but due to the edema after the surgery the tension is applied to the wound margins and this opening happens.the other point you should consider is the thickness of the tissue .usually when Incision line opening happens its not a good option to tightly suture it again because the same thing can happen.you need to rinse the area ,inform your your patient for great hygiene,fresh the wound margins and let it heal by secondary intension,I usually follow the patient weekly.