GBR Surgery in Maxillary Anterior Area

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
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2. Collect the blood in the surgical site and then mix it with bone powder
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3. Flap and bone exposure
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4. The top of the alveolar ridge is narrow, and there is a depression on the lingual side.
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5. Use a bone harvesting drill to collect autologous bone.
Separate the gums to avoid the drill when using it.
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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)
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7. Use Flap Drill to drill nourishing holes in the labial side of the alveolar ridge.
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8. Use drill to remove cortical bone
for bone tack placement
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9. Place Bone Tack to fix the collagen membrane in the palatal side of the teeth number 11
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10. Place 1.6X10mm Tenting Screw in the vertical depression of the alverolar ridge in the missing teeth number 11
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11. Before Bone Tack placement in the labial side, use Flat Drill to remove cortical bone
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12. Place Bone Tack to fix collagen membrane in the labial side of the teeth number 11
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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
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14. Place Bone Tack to fix collagen membrane in the labial side of the teeth number 12
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15. The labial side of the alveolar ridge is full
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16. Use W-tension Release Comb and 15# Blade to release the tension of the libial side of the gingival membrane.
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F17. ix the collagen membrane with horizontal mattress suture
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18. After gingival flap reposition, use absortable suture to suture the incisions with tension-reduced suture technique

PRE- AND POST-OP COMPARISON

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POST-OP IMAGING

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

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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

Índice

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