The patient is a healthy 52-year-old, male who presents with a fracture of #14 (5), compromising the bridge from #14 (5) to #16 (3).
This case begun before I started to use Augma, and the treatment planning included a first surgery with a sinus lift and horizontal augmentation using sticky bone with a Creos membrane and fixation with meisenger pins.
I had recently seen Dr. Michael Katzap’s presentation in Israel in 2019, concerning keratinized tissue gain using 3D Bond™.
To avoid more morbidity to the patient, resetting the mucogingival junction with a Mucograft or a strip from the palate, I decided to use Bond Apatite® because 3D Bond™ was not available at the time in Portugal.
After nine months of healing the implants were placed and simultaneously used Bond Apatite® to gain keratinized tissue around these implants.
After four months of healing, I rehabilitated these implants with Multiunits and a monolithic bridge .
- First Surgery – 17/11/2021 – Sinus Lift and GBR
- Second Surgery – 07/04/2022
- Implant Rehabilitation – 01/08/2022
- Final Crown – 11/10/2022
- Composite Restorations – 14/10/2022
- Final Photos : 12/12/2022
Total Time of Treatment:
- 17 months
- # 14 (5), #15 (4) and #16 (3)