Full mandible implant placement: 3 SS op. flap and the use of Densah Bur

184 Rating(s).

Posted on 08.27.2015 01:11 PM By Jorge Campos In Implants

A very narrow mandible was treated. We did 3 SS op flap and we used the Densah Bur kit to expand crest on anterior region. All implant were placed with more thant 40 Nw torque.
Distal implants were inclined.
I´m showing details of the preparation.
In cases with so narrow crest ridge , this kind of approach helps to manage implant placement.
Jorge

Show All Photos

Respond to Case

Add a comment to the discussion on Full mandible implant placement: 3 SS op. flap and the use of Densah Bur

Case has been added to your favorites.

Case has been removed from your favorites.

Thank you for your input. Your comment has been posted.

You are now following this member. You will get notified on any new topics posted by this member.

You are no longer following this member. You will not get notified on any new topics posted by this member.

Edit Comment

Comment has been updated.

21 Comments

Charles Schwimer says on 08.27.2015 01:30 PM

Jorge. Well done. I like this approach very much. The combination of PET and ridge expansion (with Densah burs) is a minimally invasive way to preserve tissues. Thank you for sharing. Best regards. Chuck

Maurice Salama says on 08.27.2015 01:30 PM

Incredible management....why no immediate load here? Also, did you consider saving teeth and telescopic denture prosthesis? regards Mo

Jorge Campos says on 08.27.2015 01:42 PM

Mo I would love to do Immediate Load...but patient budget doesn´t allow ...the treatment option.
Teeth were firm, but not as to resist that option, and she insisted on implants.
Extracted lateral was not elegible for SS due to mobility and poor lingual bone level.
Thanks for commenting!
Jorge

Jorge Campos says on 08.27.2015 01:36 PM

Chuck I do agree with you. PET therapy and expansion makes us save bone and have good perspective for the future response of the implants sorrounding tissues.
Thanks for commenting.
Jorge.

Salah Huwais says on 08.27.2015 02:03 PM

Jorge:

Just perfect. Thank you for sharing.

Jorge Campos says on 08.27.2015 02:09 PM

My pleasure Salah!
Jorge

Gregory Mark says on 08.27.2015 03:05 PM

Bravo! Gregory

Jorge Campos says on 08.27.2015 04:26 PM

Thanks Gregory!

anoosh afifi says on 08.27.2015 04:39 PM

Jorge,

I am curious to know with the Densah burs even though the bone is compacted, still, it remains thin. How does this thin bone hold up over the implant in the next 2-3 years ?

Jorge Campos says on 08.27.2015 11:12 PM

Anoosh, time will tell! I don´t know...
But the clinical sensation is good! Do others in this forum has the same perception?
Thanks for asking.
Jorge

Salah Huwais says on 08.27.2015 11:55 PM

Anoosh:

Osseodensification preserves the existing bone by compaction autografting but does not increase its thickness. It maintains the existing bone bulk and plastically expands the osteotomy, without creating a dehiscence or fenestration as can occur with standard extraction drilling, so the whole implant body is still surrounded with autogenous bone. Histologically, the surrounding bone becomes denser even if not measurably thicker. I tend to add an allograft when buccal bone thickness becomes less than 1 mm as well as I utilize the roll technique to enhance soft tissue thickness. I always recommend following the established surgical principles.

I hope I was able to answer your question.

Salah