GBR-chirurgie in het bovenkaak-anterior gebied

INFORMATION
CLINIC EXAMINATION
Intro oral examination:
The width of the alveolar ridge in the missing teeth number 11 is insufficient. There is a depression in the top of the alveolar ridge on the labial side.

Intro oral examination

Imaging Examination

Imaging Examination

TREATMENT

PRE- PLANNING

GBR Tenting Technique Surgery in the missing teeth number 11 (All surgical instruments are DentalMaster)

PROCEDURE

GBR Surgery in Maxillary Anterior Area - 11 2
1. Make incisions in the top of the alveolar ridge and the gingival sulcus of the teeth number 11 and 12. Make vertical incisions in the lingual side of the teeth number 13 and 22
GBR Surgery in Maxillary Anterior Area - 12
2. Collect the blood in the surgical site and then mix it with bone powder
GBR Surgery in Maxillary Anterior Area - 13
3. Flap and bone exposure
GBR Surgery in Maxillary Anterior Area - 14
4. The top of the alveolar ridge is narrow, and there is a depression on the lingual side.
GBR Surgery in Maxillary Anterior Area - 15
5. Use a bone harvesting drill to collect autologous bone.
Separate the gums to avoid the drill when using it.
GBR Surgery in Maxillary Anterior Area - 16
6. Collect the autologous bone of the lingual side, then mix it with 0.5g Bio-Oss coarse particulate bone powder(Collect the blood from the same surgical area and mix it for later use)
GBR Surgery in Maxillary Anterior Area - 17
7. Use Flap Drill to drill nourishing holes in the labial side of the alveolar ridge.
GBR Surgery in Maxillary Anterior Area - 18
8. Use drill to remove cortical bone
for bone tack placement
GBR Surgery in Maxillary Anterior Area - 19
9. Place Bone Tack to fix the collagen membrane in the palatal side of the teeth number 11
GBR Surgery in Maxillary Anterior Area - 20
10. Place 1.6X10mm Tenting Screw in the vertical depression of the alverolar ridge in the missing teeth number 11
GBR Surgery in Maxillary Anterior Area - 112
11. Before Bone Tack placement in the labial side, use Flat Drill to remove cortical bone
GBR Surgery in Maxillary Anterior Area - 113
12. Place Bone Tack to fix collagen membrane in the labial side of the teeth number 11
GBR Surgery in Maxillary Anterior Area - 114
13. Fill with sufficient mixed bone powder in the lingual and labial side and the top of the alveolar ridge of the teeth number 11
GBR Surgery in Maxillary Anterior Area - 115
14. Place Bone Tack to fix collagen membrane in the labial side of the teeth number 12
GBR Surgery in Maxillary Anterior Area - 116
15. The labial side of the alveolar ridge is full
GBR Surgery in Maxillary Anterior Area - 117
16. Use W-tension Release Comb and 15# Blade to release the tension of the libial side of the gingival membrane.
GBR Surgery in Maxillary Anterior Area - 118
F17. ix the collagen membrane with horizontal mattress suture
GBR Surgery in Maxillary Anterior Area - 119
18. After gingival flap reposition, use absortable suture to suture the incisions with tension-reduced suture technique

PRE- AND POST-OP COMPARISON

GBR Surgery in Maxillary Anterior Area - 21

POST-OP IMAGING

GBR Surgery in Maxillary Anterior Area - 22

POST-OP IMAGING(PRE- AND POST- OP IMAGING COMPARISON)

GBR Surgery in Maxillary Anterior Area - 23

POST-OP DISCUSSION

  1. Mucosal interference in the bone extraction area Insufficient amount of bone extraction
  2. Experience with palatal side bone tack placement
  3. The time of bone powder filling in the palatal side where the tenting screw is implanted

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