Dentaltown May 2023 - 21
Implant considerations
When examining implant-eligible patients,
I screen for the following:
* Th e patient is consistent with preventive
appointments and has good home care.
* Th e patient has reasonable treatment
expectations.
* Th e patient does not have periodontal
disease (or not active perio disease).
* Th e patient does not have a severe bruxism
habit (or, if he or she is a bruxer, commits to
wearing a nightguard).
* Th e patient is not a smoker.
* Th e patient is medically stable.
Surgical notes
Periodontist places implant and does additional soft-tissue grafting.
* The patient came for implant placement #8, RMH: NSC, consent given.
* Implant Direct ref 823711U LOT 168591 simply legacy 3.7x11.5 mm.
* Bone graft placed ACE Alloss ref 01-104-000 lot 185202.
* Membrane ACE ref 5091520 lot CMLN18N2.
* Emdogain ref 309585 lot YE236B PREF GEL ref 309591, lot WP001.
* Anesthesia: Infiltration buccal and palatal from distal #11 to distal #6.
* 4x1.8cc articaine 4% 1:100,000 epi.
* Flap: Intrasulcular #7-#10 with full/split thickness to advance tissue
coronally. Palatally crestal incision with connective tissue attached on
distal #8 and avoiding papilla on mesial of #8.
* Pref gel was used after scaling on all buccal surfaces #7,9,10 before
coronally repositioning the flap. Full closure obtained.
* 6-0 VYCRIL sutures.
* Amoxy 500, Medrol, Periguard.
FIG. 2: Preoperative PA shows the fracture
at the area of the post.
FIG. 3: Ribbond temporary/composite
made at socket preservation/bone graft
appointment. Note that the interproximal
bone level at #9 mesial is high, so the
periodontist was hopeful she could gain
back some height with additional bone
grafting at the time of subepithelial
connective tissue grafting.
FIG. 4: Three months after bone grafting.
MAY 2023 | 21 | DENTALTOWN.COM
http://www.DENTALTOWN.COM
Dentaltown May 2023
Table of Contents for the Digital Edition of Dentaltown May 2023
Dentaltown May 2023 - Intro
Dentaltown May 2023 - Cover1
Dentaltown May 2023 - Cover2
Dentaltown May 2023 - 1
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Dentaltown May 2023 - 63
Dentaltown May 2023 - 64
Dentaltown May 2023 - Cover3
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Dentaltown May 2023 - CAO_1
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