Anterior Esthetic Bone Reconstruction

6 Rating(s).


Posted on By William Escobar In Bone Grafting

Hi all!!

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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8 Comments


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Great case. Well done. Why this incision towards labial? Why silk sutures? Dr. Salama


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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!


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5/0 resorbable monofilament

and 4/0 non resorbable one on top


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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.


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Very good case done by doctors! Keep sharing good case studies.


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Thanks mate all the best


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Henry Schein
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