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BROKEN ANTERIOR RESTORATION-PALATAL BONE GRAFT AND PRF MEMBRANES
Posted on 11.10.2022 07:57 PM By oscar maldonado In Anterior/Esthetic
Female patient presented with a broken anterior restoration, with a narrow ridge for implant placement in the upper right central position. Autogenous bone graft from palatal torus. Later allograft and prf membranes at the time of implant placement. Will need to do a CTG on the buccal to improve esthetics (gingival margin not showing when smiling) and compensate for future thinning of the buccal tissue.
Anterior zone of the maxillae is a resorption zone.
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Sergio Rubinstein says on 12.26.2022 01:32 PM
The more anterior the treatment is, the more critical the patient will be on the final outcome. While I do not do my surgeries anymore, I would have not used the Tori as the donor site, since that bone is not the most dense. Having said that, in 4-6 months a new CBCT will show the quality and quantity of bone and then decide if additional bone/ soft tissue grafting is needed prior to planning for the final restorations, with or without implant(s).
Maybe lower invisible orthodontics can be implemented during this healing phase to slightly intrude and retract the incisors as the patient may be clenching, thus reducing forces for the new upper prosthesis.
Maurice Salama says on 01.23.2023 04:16 PM
Nice job Oscar. Well done. Dr. Salama
Alex Morris says on 01.31.2023 04:53 PM
Wow, it sounds like your patient had quite the journey to get that implant placed! I'm glad to hear that the bone graft from the palatal torus and PRF membranes helped make it all possible. And it's smart to think ahead about the CTG to improve esthetics and keep the smile looking great for years to come. Check out this link for more information on dental procedures like this: https://thehealthysmile.net/