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12-24 Months, Augma Bone Cement Academy, Bone Cement Expert, Clinical Cases, Clinical Indication, Clinician, Collagen Sponge/Plug, Coverage Used, Dental Notation, Images, Immediate Placement, Lateral Augmentation, Media, Post-Op Period, Ridge Preservation, Soft Tissue Augmentation, Upper Left Incisor, Upper Right Incisor, Wound Dressing
Aesthetical Zone Rehabilitation: Teeth, Bone and Soft Tissue
Healthy patient, male, comes to the consultation with absence of upper anterior teeth. The patient had an old 5-tooth bridge cemented to teeth #12 (7), #21 (9) and #23 (11) that fell a few days earlier. The patient did not have the old bridge with him. After performing the intra-oral evaluation/complementary exams, it was understood that the remaining teeth and root had no resistance for a new bridge, and the root of tooth #21 (9) was already quite fragile and destroyed. It was also found that the bone area of teeth #11 (8) and #22 (10) had great horizontal bone loss and lack of keratinized soft tissue. It was decided to undergo treatment in several surgeries:
- Implants in the location of teeth #11 (8) and #22 (10) with horizontal bone augmentation and placement of a temporary bridge over existing teeth.
- Four months later, a new surgery would be performed to increase the keratinized gums in the implants #11 (8) and #22 (10) area.
- Two months after the 2nd surgery, a partial extraction of the root of tooth #21 (9) (PET) with alveolar bone graft will be performed.
3 months later the prosthetic rehabilitation of the area will be carried out with a bridge of 3 teeth over the implants, and two individual crowns over the natural teeth #12 (7) and #23 (11).
