Narrow Flange Alpha Dent Implant Implantation

Narrow Flange Alpha Dent Implant Implantation

Dr. Eugene Lapshin

  • Dentist, surgeon, implantologist, dentist, orthopedic dentist, gnatologist, dental technician of the highest category.
  • Head doctor of the dental clinic and training center “Dentolife”.
  • Head of the dental laboratory and milling center.
  • The owner of the X-ray diagnostic center “CT Da Vinci”.
  • The opinion leader of Alpha Dent Implants.

A narrow crest is a fairly frequent clinical picture, in which it is impossible to carry out high-quality and long-term orthopedic rehabilitation with dental implants and fixed prostheses without additional surgical interventions. The stage of operation planning, the choice of the technique of horizontal bone augmentation, the choice of implant design, are undoubtedly the key to the success of the treatment of patients with dentition defects in fixed constructions. Demonstrating this clinical case, we want to draw your attention to the advantages of the Alpha Dent Implants system.

The clinical part. Narrow ridge as a complicating condition for dental implantation.

A 36-year-old patient complained of a missing tooth 4.6, impaired chewing function. In the frontal section of the lower jaw in the region of the missing tooth, the width of the alveolar part of the lower jaw at the apex is 3.7 mm. The distance from the top of the alveolar part to the upper wall of the mandibular canal is 18 mm. The operation of dental implantation was planned with the splitting of the alveolar part and mobilization of the vestibular-bone block under conduction anesthesia with peeling of the mucosal-periosteal flap, using the VarioSurg piezoelectric device, and the use of the OSTEODENT-Barrier hydrophilic resorbable membrane.

Diagnosis:

Defect in the dentition of the lower jaw, Kennedy class III. Secondary adentia 4.6.

Photos 1, 2, 3. X-ray pictures before surgery

Photo 4. The clinical picture in the oral cavity

Photos 5, 6. An incision was made with peeling of the mucoperiosteal flap.

Photo 7. Formation of a pilot mine.

Photo 8. VarioSurg Piezo

Photos 9, 10. A sagittal cut was made with a depth of 2/3 of the length of the implant with a piezo apparatus in the center of the hole

Photo 11. Before mobilization of the vestibular bone block, the formation of the bed under the implant is completed with a drill of the previous size of the planned implant

Photos 12, 13.  A sagittal cut was made with a depth of 2/3 of the length of the implant by the piezo apparatus in the center of the hole

Photos 14, 15. Vertical cuts. The depth of the vertical cut should reach the plane of the sagittal cut.

Photo 16. Formation of a horizontal relaxing cut. For successful mobilization, a horizontal laxative cut must be made in the form of a wedge

Photo 17. Bone block mobilization with a chisel

Photo 18. The final formation of the bed under the implant

Photos 19,20 Implant Alpha Dent Active

Photos 21, 22, 23, 24, 25. Implant placement

Photos 26, 27. Collagen membrane placement

Photo 28. Suturing

Photo 29. X-ray picture after surgery

September 24, 2015
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