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6-12 Months, Augma Bone Cement Academy, Bond Apatite®, Bone Cement, Bone Cement Expert, Clinical Cases, Clinical Indication, Clinician, Closed Sinus Lift, Dental Notation, Images, Immediate Placement, Media, Post-Op Period, Socket Grafting, Upper Right Molar, Upper Right Premolar
1 Product, 2 Solutions – A New Perspective
The patient is a 40 year old, non-smoking female. She wanted a fast and aesthetic solution for tooth #14 (5). The treatment plan is a single surgery with an immediate implant and closed sinus life to replace teeth #14 (5) and #16 (3).
The patient is deeply concerned by the aesthetic problem on tooth #14 (5). She is asking for an efficient, provisory solution. Nevertheless, if the loss of tooth #16 (3) is not promptly solved, it may cause the loss of tooth #15 (4). The proposal is to replace both the premolar and molar in one, single surgery.
The treatment is to extract tooth #14 (5) with immediate implant placement, grafting and immediate loading. For tooth #16 (3) – implant placement with a closed sinus lift (Summers technique) with grafting. It is decided to use Augma Bond Apatite® with 2 different protocols.
Hi, when placing an immediate implant is it recommended to place bone cement in the whole osteotomy , wait for it to set and then make the final osteotomy and insert the implant?
I saw some in Augmaflix cases done that way.
This case looks like the bone cement is only placed AFTER the implant inserted.
The following is a reply from Dr Stéphane Berg:
Immediate implant placement is always a new challenge.
The time of the grafting depends on the following:
– The volume needed to complete the process.
– The type of bone loss.
When the implant is large enough, and the bone loss is reduced, then I graft before placing the implant. I drill without water, very low speed, reverse clockwise rotation in order to condense the material.
When the bone loss is larger, I perform implant placement before grafting so that I will have the opportunity to press the material directly.
In both cases, I add some graft on top of the implant.
Hello Dr. Berg.
You mentioned reverse clockwise rotation. Do you use Versah drills or regular ones?
The following reply is from Dr. Stephane Berg:
Reverse clockwise is used in order to obtain a light condensation, and to avoid pushing the product in too deep. There is no need to apply the Densah protocol is such cases.