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Implant placed on Molar site , Mangement for maximizing crest bone

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Posted on 03.29.2019 05:47 AM By Jorge Campos In Sinus Augmentation

It´s very usual that immediate molar replacements had a lack of crestal bone due to the surgery.
A delayed approach was done.
Densah Sinus lift plus ALUMINIUM foil was used to cover the implant that was placed 2 mm BELOW bone profile.
After a few months at uncovery the images show bone over implant. A multiunit abutment was placed and will never be removed, plus a help of thickenning on soft buccal tissues will add more stability and aesthetics to the zone.
Xray show that marginal bone will protect implant. At 6 months post prosthesis will add another xray to see if this happend.
Regards
Jorge

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9 Comments

Jorge Campos says on 03.29.2019 05:47 AM

Jorge Campos says on 03.29.2019 05:48 AM

Jorge Campos says on 03.29.2019 05:49 AM

snjezana pohl says on 03.29.2019 04:30 PM

Jorge, it is good to see that you keep your standards and follow the rules.
Implant insertion depth depending on soft tissue thickness, 1A1T, CTG...
Tell us more about aluminum foil, Tesla!
Thank you for sharing
Snjezana

Jorge Campos says on 03.29.2019 07:53 PM

Hi Snjezana, I wonder if we need a true barrier when we deep a implant 2 or 3mm , what can we use? Aluminium foil, is cheap, sterizable an simple to retrieve. So I practiced with cooking aluminium foil. Sterilized in strips and cutted to cover the implant size. The results are like in Goretex. Complete bone covering. Regards, Jorge (insustry is not in my side....;-)

Anton Andrews says on 04.06.2019 10:13 AM

Nice idea and result Jorge!
I won’t be surprised if they find later that galvanic currents between Al and Ti are bone stimulating:) Tesla indeed!
BTW what about using thicker foil to prevent collapse?

yiannis vergoullis says on 04.06.2019 03:53 PM

I love this protocol Jorge! It is biologically sound from every aspect. Looking forward to your results. I.e. I recall from perio literature the use of sterile rubber dum as membrane but cant remember the citation. There were some alergy concerns. Ioannis