Partial Extraction Therapy case in an aesthetic area

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Posted on By Matko Oguic In Implants

Utilising the biology - a partial extraction therapy case
A patient comes in office with a chief complaint of pus and swelling in upper frontal region. After detailed clinical and radiological examination it was obvious that tooth #9 had to be extracted. Apart from the acute symptoms caused by tooth #9, there were some other aesthetic and functional issues to be solved in the same region as shown in the following photos.

Initial situtation

Planning


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9 Comments

X-rays


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Great case. did you also add bone to right lateral SS GAP?
regards Dr. Salama


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Dear dr. Salama, since the gap was really small, I couldn't "push" the bone inside, I just placed a small amount of bone (as much as possible) on the top of the gap and covered it with a "poncho" healing abutment.
Thanks for comment!


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Matko, as you know to our knowledge it`s the best treatment plan. I am very, very proud of you.
The left central incisor - it looks like CTG in tunnel technique?
See you tomorrow!


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Dear boss :),
thanks for a compliment, most of my treatment planning ideas are learned exactly from you, thank you for that!
It would have been a great idea if I had remembered to place a VIP-CT graft in tunnel tech. to tooth #9 position, but I didn't. I filled it with a-prf membranes only. Eventually I'll have to augment the soft tissue on that position after osseointegration phase.
See you tomorrow!


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Thank you


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You're welcome. Thanks for a comment!


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very nice case. How did you do the black and white picture


Reply

Thank you James! Regarding the photos, I edited them in photoshop using a quick select tool and then just by adding a black background.


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Omnia
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