Posterior mandible bone atrophy treated with osteo-immunology protocol

Dr. Jerome Surmenian
Case Summary
Patient Information | |
Chief Complaint | The patient had a severe bone loss around the endodontic tooth. |
Treatment Plan | |
| |
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 | |
Category | Implantology |
Indication | Extraction sockets, Horizontal bone loss, Vertical bone loss |
Approach | Alveolar Ridge preservation, Bone augmentation |
Implant Technique | Two-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