Peri-impant soft tissue managements for severely resorbed ridge

Post GBR & Dental Implantations

Partial thickness flap for FGG 

FGG harvested from Palate area

Try in FGG

FGG sutured

Hemostat w Collagen sponge 

Tie over sutures

1 wk' healing

8 wks after FGG

Implant exposures with fully preserved Periimplant keratinized mucosa

Terudermis covering partial thickness area

1 wk's healing

3 wks' healing

8 wks' healing

Impression stage

Temporary restorations screw in

Final restoration

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Immediate ridge preservation after hopeless tooth extraction

PreExtraction

facial bone plate loss

SCTG harvested from Max. tuberosity

Underneath SCTG insertion via VISTA technique

Fixation of SCTG

Collagen membrane covering extracted socket

1 wk's healing

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Severely ridge deficiency of upper anterior zone (Long term's stability)

PreOP

#12 site CBCT

#21 site CBCT

Severely ridge deficiency (Combined )

Initial ridge splitting via Piezotome

Further ridge splitting by Chisel 

Ridge expansion by expansion reamer

post ridge splitting/expansion

Dental implant with Astra Tech 3.5S XT

Dental implant with Astra Tech 3.0XT

2 implants insertion

Bone grafting with FDBA+ BioOss

Bio-Gide membrane

Suturing

2 wks' healing

3 wks' healing

Nice healing (postOp 6 Wks)

PostSx 10 wks

before 2nd surgery (6 months after implants insertion)

After 2nd surgery

Apical film check up

#12 CBCT 2nd surgery

#21 CBCT 2nd surgery

1 wk after 2nd Surgery

Plan to prosthetic design-big compromised

Ti-design abutment + Zrco2

Temporary restorations

Electric surgery for pontic area

Impression

Final restorations

#12 CBCT after prostho 6 Mo

#21 CBCT after prostho 6 Mo

3 years after dental implants

3.5 Y

2016.10.25

2017.04.27

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