-
Jedediah posted an update
Simultaneous immediate implant placement and GBR (guided bone regeneration) utilizing CGF/PRF protocols on tooth #9 due to a failing root canal that destroyed the facial plate.
Reentry was between 5 and 6 months right after CBCT was taken and shortly after the site was restored. Upper right central incisor was crowned when the upper left central incisor implant restoration was completed. Patient was thrilled with the results as we were able to reconstruct the bone and volume in that area while maintaining the soft tissue for a natural, yet improved esthetic result.
How would you have approached this case? What would you do different if anything?
2 Comments-
Great work man! I would have done it the same way, if I had your cojones. Well done!
So of course you weren’t able to get 1* closure, did you use a non-resorbable membrane on the crest and a resorbable on the buccal?
Tell me aout the suture that goes across the membrane, I think it is a sling attached to the periosteum at the base of your flap. Does that affect anything when you go to pull the membrane?
1-
lol. Much appreciated Adis. Very very close to primary closure with tiny opening due to the fact that it was a fresh extraction socket. Horizontal mattress technique to stabilize the resorbable membrane. I didn’t use any nonresorbable membranes. And yes I did a periosteal stablizing suture after I performed my split thickness flap that way there is no movement as I achieve primary closure
-
-
