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Anterior Esthetic Bone Reconstruction
Posted on 08.13.2022 06:40 PM By William Escobar In Bone Grafting
Case of deficient aesthetics in implantology !!
We removed 21 and 24 in order to gain bony picks, and 6 weeks later:
Autologous bone graft from chin and ramus
A bit of allograft (Bio Bank ) in the apical side mixed with PRF as “sticky bone” , and the rest : just autologous!!
The case was done with my canarian brothers Dr. Manuel Martín Toledo and Dr.Ricardo Torres , extraordinary Doctors and friends!!
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William Escobar says on 08.13.2022 06:42 PM
William Escobar says on 08.13.2022 06:45 PM
Maurice Salama says on 08.14.2022 08:51 AM
Great case. Well done. Why this incision towards labial? Why silk sutures? Dr. Salama
William Escobar says on 08.15.2022 05:36 AM
Hi Maurice, nice to speak with you! !
Whenever there is a 3D bone defect in the maxilla, I do the incision towards buccal side, as you know, you can’t win height in the palatal flap, on the other side , you can cut the periostium and win height in the buccal side.
This way, I know stitches will rest in crestal side, not palate, which would be worse for the patient .
It’s not silk, it’s 5/0 reabsorbible monofilament! I use it sistematically for regenerative procedures.
All the best!
William Escobar says on 08.15.2022 12:40 PM
5/0 resorbable monofilament
and 4/0 non resorbable one on top
Premier Periodontics and Implant Dentistry says on 09.13.2022 01:24 AM
When there is a 3D bone defect in the maxilla, we make the incision on the buccal side because you can't win height in the palatal flap but you can cut the periostium and win height on the buccal side.
Lynnwood Dental Studio says on 10.12.2022 01:17 AM
Very good case done by doctors! Keep sharing good case studies.
William Escobar says on 11.03.2022 01:40 PM
Thanks mate all the best