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Orthodontic extrusion and implants
Posted on 10.29.2012 02:46 AM
By narayan tv
In Implants
40 year old female with Severe Maxillary anterior bone and soft tissue loss (Central & Lateral incisors) due to Periodontitis, poor restorations and a palatal wire splint, with an aesthetic concern. Dr. Salama inspired orthodontic extrusion, implant placement and flipper provisional.
Pro-op situation
slow extrusion- over 6 months
immediate post extraction implantation in the central incisor sockets . the Lateral sockets were grafted with Bioactive glass putty, as was the jumping distance. Coronal coverage with PRF & Pericyl
Provisional flipper with a gumfit contour.
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5 Comments
Tarun kumar says on 10.29.2012 05:10 AM
Dr.Narayan,
I think this is one of the most minimally invasive and predictable technique to achieve vertical bone and soft tissue levels to place Implants in a right 3D position and give aesthetic results.I think ur treatment planning is spot on.Keep posted the final follow-up on dental XP for us.
Maurice Salama says on 10.29.2012 08:13 AM
Impressive all the way through. Congrats.
Dr. Salama
narayan tv says on 10.30.2012 09:17 AM
Thank you Dr.Tarun & Dr.Salama. Will post the final restoration when done.
ali momen says on 10.30.2012 03:18 PM
tnx for your post. why did not insert your implants in lateral side.i think implants in lateral sites give a better papilla in midline. more estethic & more sustain
thanks again. Ali
narayan tv says on 10.30.2012 10:21 PM
Dr. Ali, thanks for your interest.I would have liked to place the implants in the lateral incisor sites, however, there was a labial bone defect on the lateral incisor sockets. I'm not too concerned about a papilla between the centrals, considering these are platform switched implants and if anything, I'm working with a soft tissue excess right now.Time will tell.