Socket shield, Autografting in non invasive approach for maxillary implants

24 Rating(s).


Posted on By Wahib Moussa In Implants

Hello All
Patient presented age 50 with periodontal disease , marked bone loss in both maxillary and mandibular arch , treatment plan was extraction , socket preservation for suitable sites autografting and insertion of 8 implants in a flapless procedure to have a non invasive maxillary approach .
Case was performed , patient will have a flexible removable maxillary denture for minimal hours of use .
Thoughts and comments are welcomed.

1-Maxillary arch showing exposed roots, bad oral hygiene and missing teeth.
2- Preoperative CBCT , treatment plan.

3- Socket shield in upper cuspids, extraction performed, parallel pin in two sites.
4- Implant inserted was guiding pins and healing screws .


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8 Comments

Wahib; Nice case management. Please always lead with your BEST image first that tells the "story" of your post and CROP. Then add the REST....it provides more info for those browsing.
thanks Dr. S


Reply

Thank you very much Dr. Salama for your kind comment ,and also for the valuable advice regarding posting cases, which will be definitely considered in future cases. Best regards & thanks. Wahib


Reply

Hi Wahib,

Do you intend to leave the shields exposed, and if so, what is the reason?

And was immediate load considered?

Thanks for sharing


Reply

Dear Andoni….Thank you for your comment, I leave the enamel shield partially exposed to
Evaluate its status after healing as part of a study, proper level can be adjusted after healing.
As for immediate loading ,it was quite possible but
was not a priority for this patient ,accordingly was
not Applied.
Best regards and thanks. Wahib


Reply

I`ve seen the title and I knew immediately it´s from Wahib Moussa.
Very nice, combination of PET and autograft.
I have the same questions like Andoni. I think that SS reduced to the bone level would allow the soft tissue to grow over, close the space.
Thank you for sharing, best regards
Snjezana


Reply

Dear Snjezana…..Very happy and proud of your lovely comment, Thanks a lot. I definitely agree With your opinion but, would like to evaluate the healing prognosis of soft tissue in relation to exposed shield .As I have explained to Andoni as part of a study. With my best regards and thanks. Wahib


Reply

Nice case dr. Wahib. Thank you for all your suggestion.


Reply

Dr Joanne
Thank you very much for you kind comment.
Best regards .wahib


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