Oral3D models in implantology.

Case studies show the benefits of Oral3D across different fields of dental expertise.

Implantology

Periodontal surgery

Maxillofacial surgery

Intraoral examination

Generalized gingival erythema, with localized bleeding on probing. Probing depths ranging between 1–3mm, no furcation involvement, no mobility present. Mucogingival deformities and conditions around edentulous areas #9.

Initial state – front view
Initial state – lower view

Step by step treatment

1Evaluation

3D implant position – front view

Determine the 3D implant position and evaluate the amount of bone that needs to be augmented.

Stent – front view

The stent identifies the amount of bone augmentation needed for future implant placement in a prosthetic driven position.

3D model – front view
Scan – front view

A 3D model was printed and a CBCT was exposed in order to evaluate the ridge morphology.

2Bone grafting procedure

Local anesthesia was achieved, using an anesthetic that will supplement the vasoconstriction in the area.

Basic steps of the procedure were followed: gingival flap elevation - full thickness, decortication - in order to increase the blood supply for the grafted area, adapting the Titanium Mesh, adding the hydrated bone graft and the membrane. The Ti Mesh will support the space, fixated by some screws in the apical portion, and assure a better stability of the regenerated bone. After the area was grafted, partial thickness of the buccal flap was prepared, releasing the periosteal attachment in order to achieve primary closure.

Horizontal mattress and simple interrupted sutures were used to approximate the flaps and achieve closure of the flaps.

3GBR evaluation – 6 months after

Evaluation – lower view
Evaluation – model

After the 6 months healing period, the clinical and radiographic parameters were evaluated ith the prothetic stent in place. At this stage of the treatment, it is critical to assess the need of further bone grafting prior or simultaneous with implant placement.

Evaluation – Measurements

4Membrane removal and Implant placement

After local anesthesia was achieved, the Ti Mesh was removed and the evaluation of the bone achieved in order to place the implant #9 area. It is critical to respect the vertical, horizontal and buccal-lingual dimensions and to use the sirgical stent for an accurate 3D position.

5Healing at 6 month follow up

Initial state – front view

The implant is ready to receive a final implant-supported FPD.

BEFORE and AFTER

Initial state – front view

Direct comparison BEFORE …

Initial state – lower view

… and AFTER

 

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