The patient returned for an unscrewing of the crown of #37 (18), which induced an occlusal trauma. This ultimately led to peri-implantitis trauma.

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.

Implant placement in maxillary. The remaining teeth of the mandible are extracted, followed by ridge preservation and immediate implant placement.

The patient presented with swelling and pain in the apical area of ​​teeth #21 (9) and #22 (10). Additional exams confirmed an apical lesion in both teeth.

The patient presents with a fistula on apical part of tooth #22 (10). The patient complained of pain in the area. The radiographic examination showed an apical lesion on the apex of #21 (9) & #22 (10).

The patient came for implants in the right and left central incisors. Upon opening a defect was discovered. Implants were placed and augmentation was done with Bond Apatite®

A 60 years old. Came in to consult for implant treatment from tooth #23 (11) to #27 (15). Scans showed a large bone deficiency in close proximity to the sinus floor.

30 year old patient presents with pain from an infection in tooth #11 (8) and the decay of tooth #21 (9) beneath the crown.

The treatment will be done in stages. First, the failing central incisors will be extracted. The narrow ridge in the area of the lateral augmentation will be prepared with decortication and augmentation done using Bond Apatite.

A revision of the lower right molar was made, the tumor was removed (highly mineralized part similar to osteoma and granulation tissue from area around). We made a root resections of tooth #46 (30) with retrograde filling of the root canals using MTA. We filled the bone defect with Bond Apatite (1 cc). Histopathological study showed the presence of a odontogenic fibroma structure in granulation tissue and osteoma in mineralized part. We observed a good healing of bone and soft tissue in 2 years months follow-up.

This case shows us the evolution of the sinus floor, one year after an intra crestal sinus lift through the crestal direction. The patient is a diabetic woman in her 60's, who came for an implant treatment in the upper, right jaw. She had several years with an edentulous space between #14 (5) - #16 (3).

Patient : Male, 60 year old, non-smoker. The extractions of #13 (25) and #14 (26) were realized 5 months before, including bone preservation with Augma Bond Apatite®. The option of a closed sinus lift was preferred to a lateral approach because of the flexibility of the sinus floor due to the bone preservation.

A patient came for implant placement in #14 (5) and #16 (3). An implant in # 14 (5) can be placed easily, but a sinus lift must be performed in #15 (4) and #16 (3). It was decided to avoid a lateral window approach and to perform an intra crestal sinus lift.

A patient in her fifties came for implant treatment in the left maxilla. Dr. Baranes decided to place an implant, 3.75/10 in tooth #24 (12). In #26 (14) bone width was only 1mm, so a crestal sinus floor elevation was completed first to increase the bone height. Three months post-op an implant of 3.75/10 was placed. No additional augmentation was performed as 6 mm of bone was gained.

The patient presented with vertical movement of the 1st quadrant bridge, difficulties in chewing and extreme tooth wear and nerve exposure. Treatment planning involved the extraction of all mandible and maxillary teeth, the placement of 5 implants on the mandible with immediate load. A bilateral sinus lift will be done with maxillary implants planned for 6 months post-op.

The surgical plan included the total extraction of upper and lower teeth. Five implants are placed in the lower jaw with immediate load. The correction of bone defects in the maxilla and mandible. Bilateral superior sinus lift and an All on 6 with immediate loading 6 months after bone reconstruction.

Tooth #45 (29) & #46 (30) were extracted. Tooth #44 (28) is going through an endodontic retreatment procedure.  At the time of extraction, enucleation of a cystic lesion 1 cm in diameter.

We made a root resection of tooth #35 (20) with back-fill with the MTA, cyst enucleation (confirmed with histopathology examination). We filled the bone defect with Bond Apatite (1/2 cc). Good healing and no clinical symptoms after six months was observed.

The cyst appeared 8 months after good endodontic treatment. We did a root resection of tooth #22 (10), followed by a cyst enucleation with histopathology examination. The bone defect was then filled with Bond Apatite (2cc).

A 20 year old was referred to us to perform an implant in area #22 (10) due to agenesis (after orthodontic preparation.) The doctor wants to perform a screwed crown. This requires us to perform the implant outside the frame of the bone. We will treat the dehiscence with Bond Apatite.

The conservative endodontic treatment of the tooth #26 (14) failed. We made a root resection of this buccal mesial root of tooth #26 (14,) backfilling with MTA and cyst enucleation with histopathology examination. We filled the bone defect with Bond Apatite®.

The root of #35 (20) was resected, with a backfill of the root canal with MTA. Cyst enucleation was confirmed with histopathology examination. The bone defect was filled with Bond Apatite® (0.5 cc).

The lower right first molar was atraumatically extracted without any lingual or buccal flap. Immediate implant was placed with >50 N/Cm torque.

Unerupted tooth #13 (6) was preserved and deciduous #53 (C) was extracted. GBR with Bond Apatite® was done. An implant was placed 4 months post-op, during which time a temporary tooth was connected with braces.

In this video the second premolar is extracted and 3D Bond is used to repair a sinus communication. Socket grafting is completed with Bond Apatite, and the graft is protected with a collagen plug.

Healthy 44 year old female presents with constant, moderate pain on endodontically treated tooth #30 (46). Three months following endo re-treatment of MB and ML canals, the pain persisted.

In bone of poor quality, increasing implant diameter may be the only way to increase tolerance to occlusal forces, improve initial stability, and provide a favorable stress distribution to the surrounding bone. Shorter implants, those with locking tapers and plateau root shapes, tend to have longer survival times by using Biphasic Calcium Sulfate.

The patient presented with an infected and fractured molar with compromised buccal plate. The extraction was done in segments. Osteotomy prep grafted with Bond Apatite®, uncover osteotomy, immediate implant placement.  Note the keratinized gingiva around the healed implant. The key here was no flap at the time of the extraction.

The patient presented with a large area of inflammation around the tooth #12 (7) with a complete lesion of external cortical lamina. We extracted the tooth and removed the inflammation (with histopathology examination). We filled the bone defect with Bond Apatite® (1 cc). After 4 months we have a new young bone in the position of #12 (7), so the implant was placed with good primary stability of the implant.

treatment of #37 (18) and extraction of #36 (19) due to deep periodontal pocket with active secretion and furcation involvement. The tooth was extracted atraumatically, and an implant was placed centrally, relying on the septum.

An 81-year-old woman came to the consultation with complaints of mandibular pain, difficulty in chewing, bad taste and bad breath. The patient had an old mandibular treatment with infected implants with suppuration. The remaining teeth were also in very poor condition. It was decided to extract all teeth and mandibular implants, with placement of 4 immediate implants with immediate loading and mandibular bone reconstruction. Four months later the definitive hybrid prosthesis would be made.

Failing first molar, immediate extraction and implant placement. Flap stretch to achieve primary closure. Graft with Bond Apatite.

Extraction and grafting of lower left and right molars, followed months later by open sinus lift and immediate implant.

The patient presents with a symptomatic cyst with an active fistula on the area of #21 (9) & #22 (10) and an absence of tooth #24 (12) with major bone loss. The patient wants to have fixed teeth on #22 (10) and #24 (12).

The patient presented with a crown fracture on the tooth #24 (12). The tooth was extracted and socket grafting was completed with Bond Apatite. A temporary crown was used during healing.

A 43-year-old woman came for consultation 3 days after losing tooth #11 (8) due to trauma. The patient has a history of periodontitis and tooth mobility, and she brought her tooth with her in her hand. The patient just wanted to have her tooth back. The patient is a smoker. Tooth #13 (6) had already been replaced with an implant for the same reason about 10 years ago.

The patient presents a total failure of an old bridge between teeth #21 (9) and #23 (11) with high horizontal/vertical mobility and marked absorption of the buccal bone plate in the area of tooth #23 (11) with active infection.

Extraction of tooth 36 (19) with immediate implant placement and augmentation. Placement of zirconia/ceramic crown 4 months later.

The patient was referred for an implant after the extraction of tooth #12 (7). According to the CBCT, their was insufficient bone volume due to a bone defect and a residual cyst.

The patient came to our office complaining of mobility and discomfort of teeth 8,9 (11,21). The clinical and radiographic evaluation confirmed the patient’s complaint. The CBCT demonstrates a large bone deficiency at the apical level with the absence of the buccal plate.

We did an enucleation and resection of roots of the upper right incisors, (#11 (8) & #12 (7)) with retrograde fillings (MTA) and augmentation with Bond Apatite® bone cement. Healing was uneventfully and after six months post op the place was asymptomatic and bone was formed.

Male age 40, cyst in the front of the mandible, range of root #31(24) and #32(23). There was pain, swelling and active buccal fistula. Enucleation of the cyst and resection with retrograde and filling (MTA) of roots #31(24) and #32(23). Augmentation was

The patient reported inflammation, swelling and pain on occasion consistent with Vincent’s symptom in the area of teeth #36 (19), #20 (35), and #34 (21). The surgery was performed under general anesthesia. We removed a radicular cyst (with histopathology), root resection of #35 (20) with retrograde MTA filling, and extraction of #36 (19). The bone defect was grafted with Bond Apatite® (6 cc).

The molar is extracted and socket grafting and lateral ridge augmentation are completed with Bond Apatite. Implants are placed 5 months post-op.

Patient in her sixties come for implant treatment in the maxilla on the right side. The ridge was very thin, about 2 mm. A lateral augmentation to thicken the ridge with Bond Apatite was performed. The implant in tooth #13 (6) is of 3 mm in diameter, the other implants #14 (5), #15 (4) and #17 (2) are of 3.75 mm in diameter.

The patient is a 70 year old female with no health problems. Tooth #34 (21) is fractured and must be extracted, and the bridge sliced. Tooth #38 (17) will be kept for the moment.

Examination reveals a narrow alveolar crest that will not accommodate implant placements in the molar area. It was decided to perform a ridge augmentation initially, and after a few months of healing to proceed with placement of the implants.

In this live surgery video we see multiple extractions and augmentation in order to prevent bone loss and maintain healthy bone. This case demonstrates the importance of augmentation procedures for preventing bone loss and maintaining healthy bone, regardless of the

The patient came with aesthetical problems, difficulty with chewing and failure of most of his remaining teeth. The treatment plan involved complete maxillary teeth extraction, 7 immediate implants, bone grafting with bone cements and immediate load.

Multiple extractions, cyst removal and the reconstruction of maxillary bone defects. Rehabilitation with a temporary removable prosthesis, and 6 months post-op the final skeletal prosthesis is placed.

62 year old male presents with painful and mobile upper left first premolar tooth. Exam revealed gingival inflammation and mobility. Exploration revealed a missing buccal plate. The plan was to remove the tooth, and graft with Bond Apatite, without flap elevation.

A patient came to the office complaining of the mobility of the old bridges, located in the anterior maxillary segment. With Bond Apatite we were able to fill gaps and large defects. Including the void left after removing the impacted canine. This was done while the site was chronically infected.

Periapical lesion and root resorption are demonstrated around the tooth #23 (#11). The tooth underwent repeated root canal treatment by endodontist and courses of antibiotics without improvements.

healthy patient. He came to consult for pain on #11 (8). The x-ray did not provide any convincing but the clinical examination made us think of a root fracture. I performed a large full thickness flap and realized a bone filling with biphasic calcium sulfate (Augma Bond Apatite), hoping to limit the loss of width following a traumatic extraction. A collagen sponge was used to cover the graft.

The crown on #46 (#30) was 6 months old, and was still painful despite weeks of antibiotics. Our decision was to extract the tooth and to graft biphasic calcium sulfate (Augma Bond Apatite®) in order to recover as much bone volume as possible. After 6 months, and a complete restitution of the bone volume, an implant (Surcam, S-type, 5x 13) was placed in a true bone.

Bone cements are used to repair a large, buccal dehiscence, and a wound dressing is placed over the sutures to help protect the wound and aid in the healing process.

The patient presented with a lack of teeth for chewing in the 2nd quadrant, a destroyed tooth #24 (12) with an apical cyst, and a lack of aesthetics when they smiled.

Discomfort and tooth mobility of the left upper lateral incisor. A fistula was detached buccally near the apex zone of the tooth. Radiographic imagery revealed a large radiolucency in connection with the tooth apex. The tooth was extracted and the lesion removed, followed by augmentation with Bond Apatite.

presented with diffuse palatal swelling and mild pain in the upper left first molar. The tooth was sectioned and removed without any palatal or buccal flap. Augma was placed with sutures and a collagen plug.

Diagnosis: Granuloma and bone re absorption in septum and palatal root.

The patient is a 50 year old male with periodontitis and mandibular teeth in poor condition. The patient has difficulty chewing and a poor aesthetic.

Periodontitis, Stage III, Grade C, with molar incisor pattern. They demonstrated bleeding, deep pockets and vertical bone resorption.

The patient was referred by his treating dentist following repeat acute phases. The decision to extract is done with antibiotics and corticosteroid coverage. GBR will be performed during the surgical stage, with Augma Bond Apatite.

Quad -Zygoma using Extra Maxillary Approach in conjunction to Bond Apatite®, reducing trauma and avoiding complications on Full Arch clinical cases.

The patient presented with reduced dimension of the vertical bone after using a removable prosthesis for 20 years. The treatment plan included 2 retro-molar implants, 2 zygomatic implants and 4 conventional implants.