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Bone augmentation performed simultaneously with dental implant placement

Dr. Jerome Surmenian

Patient Information
Chief ComplaintPatient with severe bone loss around #35.
Treatment Plan
  1. Teeth extraction and immediate implant (2 stage)
  2. Bone grafting with sticky bone (THE Graft™ with PRF).
  3. Graft site was covered with PRF membrane.
  4. Primary closure not achieved.
  5. 2.5 months after healing period, 2nd stage performed.
Grafting Area
--|-----
|5 6
Materials
Bone Graft THE Graft™
Mixed THE Graft (0.25- 1mm size) with PRF for making a sticky bone.
Membrane PRF Membrane
Covered with PRF membrane.
Suture
Primary closure.
Methods
CategoryImplantology
IndicationExtraction sockets, Horizontal bone loss, Vertical bone loss
ApproachAlveolar Ridge preservation, Bone augmentation
Implant TechniqueTwo-stage, Immediate placement/Immediate loading, Simultaneous approach

Case Summary

Case Approach

This is a simplified summary of the case methodology. For complete details, please see the full PDF or video presentation.

1.

Intra-first operative image

Teeth were extracted, implants were immediately placed.

2.

Intra-first operative image.

Sticky Bone (THE Graft™ with PRF) was applied.

3.

2nd stage, 2.5 months after the procedure

We observed very good bone volume covering implants.

4.

2nd stage

Sutured.

Case Outcome

Complete bone regeneration was achieved at 2.5 months post covering implants. Vascularized bone was observed.

Before

CBCT shows severe bone loss and implant integration was achieved at 2.5 months.

After

Bone augmentation observed around implant.

Bone augmentation performed simultaneously with dental implant placement

Dr. Jérôme Surmenian

Graduated Dental School in Nice, France; Master of Science degree in Oral Biology in Boston University and Certificate of Advanced Graduate Study in Periodontology and Implantology from Boston University, USA; Instructor at Surmenian Institute, teaching predictable bone augmentation protocols

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