A significant bony defect in the area of the left maxillary first molar

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Posted on By dr Amos yahav In Bone Grafting

A 56 years old patient in good health presented for treatment of the upper left first molar area. Previous surgical history of infection and tooth removal. The initial presentation demonstrates a significant bony defect in the area of the left maxillary first molar that precluded the placement of a dental implant. The area was grafted with 3D bond ( Augma biomaterials) biphasic calcium sulfate bone graft cement and primary closure was obtained.

At 2.5 months post grafting the radiograph reveals good bone healing and during surgical reentry an adequate ridge volume was present to allow the placement of a dental implant.

Surgery by: Dr. Guy Levi, Periodontist




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4 Comments

Truly remarkable healing. The best I ever have seen with this material. Any clinical images of the defect and graft in place? Post op CBCT? Thanks for sharing Dr. Salama


Reply

Thank you Dr. Salama for your warm and positive comment .
unfortunately we don't have additional photos for this case .
indeed it is a very impressive result .however i must stress that 3D bond (biphasic calcium sulphate )by itself is a short term space maintainer 4-10 weeks resorption time , therefore normally its indications are limited to socket grafting procedures from first central to second premolar or molar with existing septum .in larger cases it might resorb relatively fast before the bone can be built .
In this case Dr. Guy who did the case have a lot of experience with the material and had the ability to push its boundary . for those who are not so familiar with the product in such cases normally we recommend to use Bond Apatite ,( composite bone graft cement) products .
for those who are interested ,more information can be found in our web site

www.augmabio.com


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awesome results!! so you used Bond Apatite? The periosteal release had to be alot huh?


Reply

Thank you, Dr Warren
you don't need any periosteal release at all, you use the elasticity of the flap to stretch it directly above the cement for maximal closure up to 3 mm exposure it's completely fine. however not more than 3 mm. that's will enable you to close almost any one of your cases very easily. and as such, it is less traumatic for the patient, less pain, and less swelling.


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