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GBR PROCEDURE OF A BUCCAL-PALATAL COMMUNICATING DEFECT ON MAXILLA PLUS SINUS LIFT.
Posted on 01.09.2023 08:36 PM By JAVIER MAYOR ARENAL In Bone Grafting
DR.JAVIER MAYOR ARENAL
I present a case of a patient without relevant medical records, only smoking habit, but we achieve him quitting 4 months before the surgery and never starts again after that, with a buccal-palatal defect at his second quadrant, and a complete loss of integrity in the anterior wall of the maxillar sinus that made impossible any implant placement and posterior rehabilitation with fixed prosthesis.
It´s not a common case, and there are different approaches. I choose to perform a sinus lift combined with GBR to resolve the communicating defect and provide enough width to the future implant placement.
I use a combination of several collagen resorbable membranes with a mix of 60% of autologous bone and 40% of xenograft.
I also use several optional elements, not critical to the predictability of the treatment, but very helpful to achieve stability of the complex, such as a titanium mesh at the sinus wall osteotomy and a xenogenic cortical lamina to restore the palatal wall.
After ten months, we perform a reentry surgery. We achieve a hard ,vascularized bone and proceed to place 6 implants for the future fixed prosthesis.
We will shortly publish the follow up, with the soft tissue management, prior to the prosthesis confection.
Greetings to all!!
JAVIER MAYOR ARENAL says on 01.09.2023 08:37 PM
JAVIER MAYOR ARENAL says on 01.09.2023 08:38 PM
JAVIER MAYOR ARENAL says on 01.09.2023 08:39 PM
JAVIER MAYOR ARENAL says on 01.09.2023 08:58 PM
Holly Brown says on 02.10.2023 07:39 PM
This is a fascinating example of a successful GBR procedure combined with a sinus lift for treating the maxilla's buccal-palatal communication defect. The use of collagen-resorbable membranes, autologous bone, xenograft, and other optional elements such as titanium mesh and cortical lamina is critical for its successful outcome. It will undoubtedly be beneficial to learn from this case and apply the same principles in similar cases for the best results.
Looking forward to seeing the follow-up with details of soft tissue management before prosthesis confection. Kudos to Dr. Javier Mayor Arenal for his commendable effort!
dental implants Pembroke pines
Maurice Salama says on 03.17.2023 08:59 AM
Fantastic regeneration, what type of membrane is this? Please update after implant loading. thanks again Dr. Salama