Project Description
Upper Pre-Molar Case Study
- Failing 24 & 25 with chronic apical granulomas
- Buccal profile view
- Pre-op radiograph
- 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
- Oblique profile
- Implants placed
- EthOss® placed and, in this case, over contoured both buccally and vertically
- Immediate post-op radiograph
- Site exposed at 12 weeks. New bone grown over the top of the cover screws where the EthOss® was over contoured
- Site after bone removal to reveal implant cover screws
- 4mm high healing abutments fitted. Image clearly shows a significant improvement in buccal bone width and profile
- Displaced tissue bucally to increase volume of keratinised tissue
- Significant changes to bone density evident post-operatively
Case by Dr. Monder Zbaeda,
BDS(Hons) PgCert MSc MFDS RCSEd DipImpDent RCSEd
Barrington Dental Care