Upper Pre-Molar Case Study

1. Failing 24 & 25 with chronic apical granulomas
2. Buccal profile view
3. Pre-op radiograph
4. Upon removal of teeth, buccal plate non existent at UL4. Type II (ITI) approach with re-entry after 4 weeks. Note the granulation tissue and lack of buccal plate. Granulation tissue removed down to sound bone
5. Oblique profile
6. Implants placed
7. EthOss® placed and, in this case, over contoured both buccally and vertically
8. Immediate post-op radiograph
9. Site exposed at 12 weeks. New bone grown over the top of the cover screws where the EthOss® was over contoured
10. Site after bone removal to reveal implant cover screws
11. 4mm high healing abutments fitted. Image clearly shows a significant improvement in buccal bone width and profile
12. Displaced tissue bucally to increase volume of keratinised tissue
13. Significant changes to bone density evident post-operatively

Case by Dr. Monder Zbaeda,
BDS(Hons) PgCert MSc MFDS RCSEd DipImpDent RCSEd
Barrington Dental Care