What would you do to treat this case. Part 1

139 Rating(s).


Posted on By Juan Alberto Ruiz In Bone Grafting

Young healthy man, with high expectations regarding aesthetics came to our office asking for help. He was treated several times without success.

Initial pict
After implant removal

After implant removal oclusal view
Oro nasal and oro-sinusal fistula
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9 Comments

What a difficult case. how do you plan to rehabilitate the case?


Reply

Bone regeneration, implant placement, connective tissue graft, and fixed restoration FP-1.


Reply

Berto

Always the challenge you present.
Im sure you will regenerate w FFB and BMA. I have seen what you can accomplish with this protocol for regeneration outside the bony wall.

But, will you have to place a membrane ( secured ) to eliminate the oral/nasal communication ?

Waiting for part 2

Love your cases

Rocco


Reply

Dear Rocco you already know how much i love your work, and really appreciate your ( always instructive) comments. Once again, you are right, i used FFBA+BMA.


Reply

Please Berto! I want to see part 2!! ASAP
This is an horrible situation for a regular Surgeon like me!
Regards
Jorge


Reply

Please my friend you are not a regular dentist, in fact you are the smartest dentist i have never met in my life, multifaceted, creative and above all always with a practical approach.
Talking about the second part, the patient is wearing the temporary restoration, and we are about to finish the case.

In the mean time receive my compliments for your continuous effort and dedication.


Reply

Thanks Berto!
Waiting to be finished...
Regards
Jorge


Reply

Juan, I know how difficult these cases can be from so many different perspectives....emotional, antomical, healing issues, time management etc. etc. Can you be so kind as to add any radiographic images of CBCT sections for further evaluation by our members. warmest regards Maurice


Reply

Dear Juan Alberto case very difficult. Working in hot zone... maybe it need to freeze a little to see where the tissue are going on... congrats and waiting part 2.
Best regards
Alberto Miselli


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