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Posterior mandible bone atrophy treated with osteo-immunology protocol

Dr. Jerome Surmenian

Case Summary

Patient Information
Chief ComplaintThe patient had a severe bone loss around the endodontic tooth.
Treatment Plan
  1. Teeth extraction.
  2. Graft grafted with sticky bone (THE Graft with PRF).
  3. Covered by THE Cover™ (Stiff type) membrane and PRF membrane.
  4. Primary closure was achieved, using a single interrupted suture.
Grafting Area
------|--
7 6 |
Materials
Bone Graft THE Graft™
Mixed THE Graft (0.25- 1mm size) with PRF for making a sticky bone.
Membrane THE Cover™ (Stiff type), PRF Membrane
Covered THE Cover™ and PRF membrane.
Suture
Primary closure was achieved, using single interrupted suture.
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 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

After extraction and area cleaning, massive bone loss is observed.

2.

Intra-first operative image

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

3.

2nd stage, 2.5 months after the procedure

Covered with THE Cover™ (Stiff) membrane.

4.

Post-first operative image, 2.5 months after GBR

Clinically observed healthy soft tissue.

Case Outcome

2.5 months after healing, bone regeneration was achieved, and two implants were placed. We notice healthy new bone regeneration.

Using a stiff collagen immune membrane in an inflammatory situation acts as an immune barrier and allows bone regeneration without fibrosis.

Before

Radiographically observed severe bone loss.

After

New bone volume observed on CBCT.

Posterior mandible bone atrophy treated with osteo-immunology protocol

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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